Shah, Leena Gautam
Shah, Leena Gautam is an sole proprietor health care provider with primary practice located at 40 Hart St Building A, New Britain CT 06052-1743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Shah, Leena Gautam can be contacted via phone (860) 832-8609.Contact Information
Primary practice address
40 Hart St Building A
New Britain CT 06052-1743
Phone: (860) 832-8609
Fax: (860) 832-8613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 028603 | Connecticut |
Profile Details
| NPI number | 1558415950 |
|---|---|
| LBN Legal business name | Shah, Leena Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558415950 | NPPES |
| Connecticut | MEDICAID | 001286039 |
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