Individual
SHAHEENA SHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2878
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2878
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
039691
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396910
—
CT
Enumeration date
09/14/2006
Last updated
05/28/2025
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