KUSHAN K SHAH


Address: 2 Wintonbury Mall Ste 5, Bloomfield, CT 06002-2466
Phone: 8606566941

KUSHAN K SHAH (NPI# 1134648660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134648660
Entity Type Individual
Full Name KUSHAN K SHAH
Practice Address 2 Wintonbury Mall Ste 5
Bloomfield
CT 06002-2466
Mailing Address 7 Acadia Ln Ph 5409
Shelton
CT 06484-4465
Practice Telephone 8606566941
Enumeration Date 2017-09-15
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
11878 CT Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
49 Pershing Dr, Derby, CT 064181406 2037324300

Other Providers KUSHAN SHAH

NPI Name Taxonomy Address Enumeration
1477861938 Kushan G. Shah Pharmacist 164 Parsippany Rd, Parsippany, NJ 07054-4708 2010-09-18

Office Location

Street Address 2 WINTONBURY MALL STE 5
City BLOOMFIELD
State CT
Zip Code 06002-2466

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558908897 Duncaster, Inc. Clinic/Center 30 Loeffler Rd., Bloomfield, CT 06002 2019-12-05
1104467919 Caroline Suzanne Carey Oesch Counselor 71 West Dudley St, Bloomfield, CT 06002 2019-10-02
1679047534 Inspire Me, LLC Counselor 1-2 Camelot Drive, Bloomfield, CT 06002 2019-01-14
1508348947 Rebecca Perry Student in an Organized Health Care Education/Training Program 693 Bloomfield Avenue, Bloomfield, CT 06002 2018-09-01
1760996946 Monique Edwards Social Worker 705 New Briatin Ave, Chd, Bloomfield, CT 06002 2017-11-27
1225564412 Merva E Dixon Nurse Practitioner 38 Hill Farm Rd, Bloomfield, CT 06002 2017-05-07
1538602610 Jaime Acevedo Counselor 571 Bloomfield Ave, Bloomfield, CT 06002 2016-11-22
1669835138 Jacob Badura Pharmacist 799-824 Park Ave, Bloomfield, CT 06002 2016-04-01
1316283328 Julie Jason Farrelly Counselor 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 2012-12-19
1184915860 Rachel Benedetto Scott Surgery 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 2011-04-28
Find all providers in zip 06002

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023500030 Jeffrey D Haimson Dmd Dentist 1018 Broad St Ste 4, Bloomfield, NJ 07003-2884 2018-06-05
1245583798 Bloomfield Family Dental, PC Dentist 2 Wintonbury Mall # 5, Bloomfield, CT 06002-2466 2012-10-22
1023344181 Sundance Dental Care of Bloomfield, LLC. Dentist 100 South First Street, Bloomfield, NM 87413 2009-10-26
1861648768 Qiaomei Yan Dentist 800 Cottage Grove Rd # Set311, Bloomfield, CT 06002-3064 2008-08-11
1467626721 Anthony V. Parrillo Dentist 171 Willard Ave, Bloomfield, NJ 07003-4800 2008-04-17
1457547937 Elizabeth Sandoval Dentist 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844 2007-09-19
1548463680 Anthony Gerard Devincentis Dentist 1218 Broad St, Bloomfield, NJ 07003-3031 2007-06-07
1578684742 Robert Lewis Adams Dentist 12 Carnoustie Cir., Bloomfield, CT 06002 2007-04-03
1720130024 Lori A Haines Dentist 112 Fairfield Hill, Bloomfield, KY 40008 2007-01-17
1679623953 Marc I Moscowitz Dentist 731 Bloomfield Ave, Bloomfield, NJ 07003-2514 2007-01-11
Find all providers in BLOOMFIELD

Competitor

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City BLOOMFIELD
Zip Code 06002

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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