Individual
DR. ANUSH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1590
(860) 679-3004
Mailing address
260 FARMINGTON AVE, FARMINGTON, CT 06030-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02786500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13407
CT
Other
Enumeration date
10/26/2019
Last updated
01/27/2026
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