National Provider Identifier Database

SHANTA SHEPHERD, MD – NPI #1174986756
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

SHANTA SHEPHERD, MD
19 WOODLAND ST STE 23
HARTFORD, CT06105-2368
Phone: 860-522-2251
Fax:
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for SHANTA SHEPHERD

NPI Number 1174986756
Credentials MD
Entity Individual
Enumeration date 04/01/2016
Last updated 05/12/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 68747
Hospital affiliation n/a

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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