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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SHISHIR MATHUR, MD
27 SYCAMORE ST STE 400
GLASTONBURY, CT06033-7208
 Phone: (860) 633-0500
 Fax: 860-633-5250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHISHIR MATHUR · (Male)

NPI # 1003016957
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2007
Last updated 07/26/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 047888
  • CT Medicaid 1003016957
Hospital affiliation(s)
  • MANCHESTER MEMORIAL HOSPITAL - (Acute Care)
    71 HAYNES ST
    MANCHESTER, CT 06040
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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