Individual
DR. MARK SHEKHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 SEYMOUR ST, SUITE 100, HARTFORD, CT 06106-5501
(860) 549-8221
(860) 244-8890
Mailing address
74 BATTERSON PARK RD STE 107, FARMINGTON, CT 06032-2565
(860) 549-8276
(860) 674-8084
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
046781
CT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
046781
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720245178
INDIVIDUAL NPI
—
01
—
1972500304
GROUP NPI
CT
Enumeration date
05/21/2008
Last updated
06/28/2021
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