NPI 1174986756

Shanta Shepherd, MD

Practitioner Urology Physician Hartford, CT

Practice location

Address: 19 Woodland St STE 23, Hartford, CT 06105-2368
Phone: (860) 522-2251
Mailing address: 88 E Newton St C515, Boston, MA 02118-2308

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 68747 (CT)

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Registry record

NPI: 1174986756
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2016
Record last updated: 12 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.