Individual
DR. YASSER SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 439-0050
(203) 439-9490
Mailing address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 439-0050
(203) 439-9490
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
042472
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445130
—
IA
01
—
D400193195
MEDICARE PTAN
CT
Enumeration date
01/19/2006
Last updated
08/24/2016
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