Individual
ERAN I SHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES, MIDDLETOWN, CT 06457-4747
(860) 347-4258
(860) 704-5924
Mailing address
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES, MIDDLETOWN, CT 06457-4747
(860) 347-4258
(860) 704-5924
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
043189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431890
—
CT
01
—
001431890-01
EDS/BLUECARE
—
01
—
010043189CT01
ANTHEM
—
01
—
043189
CT
—
01
—
2521811
CIGNA
—
01
—
2V7057
HEALTH NET
—
01
—
3803597
AETNA
—
01
—
61044837
UNITED HC
—
01
—
P3592644
OXFORD
—
Enumeration date
08/18/2006
Last updated
02/25/2016
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