Individual
SHUTA ISHIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042665
CT
207RN0300X
Nephrology Physician
042665
CT
208M00000X
Hospitalist Physician
Primary
042665
CT
Other
Enumeration date
04/27/2006
Last updated
03/07/2023
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