Provider Demographics
NPI:1922294222
Name:SHAH, TEJAL PARTH (MD)
Entity type:Individual
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First Name:TEJAL
Middle Name:PARTH
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:80 SEYMOUR ST
Mailing Address - Street 2:SUITE S502
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06102-8000
Mailing Address - Country:US
Mailing Address - Phone:860-972-6230
Mailing Address - Fax:860-545-5221
Practice Address - Street 1:80 SEYMOUR ST
Practice Address - Street 2:SUITE S502
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06102-8000
Practice Address - Country:US
Practice Address - Phone:860-972-6230
Practice Address - Fax:860-545-5221
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2016-12-09
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Provider Licenses
StateLicense IDTaxonomies
CT50708207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease