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Contact Information

SHANTA SHEPHERD, MD
19 WOODLAND ST STE 23
HARTFORD, CT06105-2368
 Phone: 860-522-2251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for SHANTA SHEPHERD · (Female)

NPI # 1174986756
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2016
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 68747
Hospital affiliation(s)
  • JOHN DEMPSEY HOSPITAL - (Acute Care)
    263 FARMINGTON AVE
    FARMINGTON, CT 06032
  • 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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