Individual
DR. HUSAM BAHGAT SHITIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 HIGHLAND AVE, CHESHIRE, CT 06410-2562
(203) 271-3132
(203) 271-3940
Mailing address
430 HIGHLAND AVE, CHESHIRE, CT 06410-2562
(203) 271-3132
(203) 271-3940
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
034996
CT
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
ME 72340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010034996CT01
ANTHEM BLUE CROSS
CT
01
—
0V0544
HEALTHNET
CT
01
—
110134996CT01
RAIL ROAD MEDICARE
CT
01
—
619002
AETNA
CT
01
—
718079
CONNECTICARE
CT
01
—
G29889
UNITED HEALTH CARE
CT
Enumeration date
09/26/2006
Last updated
07/08/2007
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