Shah, Hansa H
Shah, Hansa H is an individual health care provider with primary practice located at 399 Mill Hill Ave , Bridgeport CT 06610-2865. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Shah, Hansa H can be contacted via phone (888) 822-2270.Contact Information
Primary practice address
399 Mill Hill Ave
Bridgeport CT 06610-2865
Phone: (888) 822-2270
Fax: (203) 336-4395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 019875 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 019875 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 019875 | Connecticut |
Profile Details
| NPI number | 1457553513 |
|---|---|
| LBN Legal business name | Shah, Hansa H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jun 26th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457553513 | NPPES |
| Connecticut | MEDICAID | 004238764 | |
| Connecticut | MEDICAID | 004052023 | |
| Connecticut | MEDICAID | 004258366 | |
| Connecticut | MEDICAID | 004258374 | |
| Connecticut | MEDICAID | 004191962 | |
| Connecticut | MEDICAID | 004259025 | |
| Connecticut | MEDICAID | 004188282 |
Popular Providers
-
Mathoda, Rajindar Kaur
1635 Central Avenue Southwest Connecticut Mental Health System, Bridgeport CT 06610 -
Khan, Tasneem Ahmad
1635 Central Avenue Room 213 Southwest Ct Mental Health System, Bridgeport CT 06610 -
Morgan, Charles J
226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811 -
Wolf, Linda D
1635 Central Avenue Southwest Connecticut Mental Health System, Bridgeport CT 06610 -
Prabhulal, Raksha Gauri
1635 Central Avenue Room 213 Southwest Connecticut Mental Health System, Bridgeport CT 06610 -
Kondev, Vanja
340 Capitol Ave , Bridgeport CT 06606-5412 -
Ciancimino, David E.
4697 Main St , Bridgeport CT 06606-1869 -
Klein, Hilary Manette
170 Bennett St , Bridgeport CT 06605-2901