Doctor Name: | DR. LEENA GAUTAM SHAH |
NPI Number: | 1558415950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 028603 |
Business Practice Address: | 40 Hart St Building A New Britain, CT - 060521743 |
Business Phone Number: | 8608328609 |
Business Fax Number: | 8608328613 |
Mailing Address: | 40 Hart St, Building A NEW BRITAIN |
State: | CT |
Postal Code: | 060521743 |
Phone Number: | 8608328609 |
Fax Number: | 8608328613 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 028603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |