Individual
SHIVA L KASHANIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL CRITICAL CARE MEDICINE, HARTFORD, CT 06102
(860) 545-5200
Mailing address
PO BOX 40000, HARTFORD HOSPITAL PROFESSIONAL SERVICES DEPT 634, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001313
CT
Other
Enumeration date
07/02/2007
Last updated
02/26/2008
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