Individual
RAHUL DEENESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9200
Mailing address
333 CEDAR ST, YNHH DEPARTMENT OF PEDIATRICS, NEW HAVEN, CT 06510-3206
(203) 688-1947
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
61778
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
08/25/2023
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