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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558415950 NPPES
Connecticut MEDICAID 001286039

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