Shaw, Raphael Ndede

Shaw, Raphael Ndede is an sole proprietor health care provider with primary practice located at 64 Robbins St , Waterbury CT 06708-2600. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Shaw, Raphael Ndede can be contacted via phone (203) 673-6000.

Contact Information

Primary practice address
64 Robbins St Waterbury CT 06708-2600
Phone: (203) 673-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56674 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 292465 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 56674 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD28262 Maine
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 56674 Connecticut

Profile Details

NPI number 1902218597
LBN Legal business name Shaw, Raphael Ndede
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2014
Last updated Jun 13th, 2024 - about 2 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 1902218597 NPPES
New York MEDICAID 04842339

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