Dr. Erum Shahab, MD
Psychiatry & Neurology, Psychiatry in Ellington, Connecticut
1669434049- Practice location
- 16 Main St, Ellington, CT 06029-3360
- Phone
- 860-871-5402
- Fax
- 860-871-5413
- Last updated
- December 21, 2015
Erum Shahab is a Psychiatry & Neurology, Psychiatry based in Ellington, CT. Erum Shahab practices in Ellington, CT and has the professional credentials of MD. The NPI Number for Erum Shahab is 1669434049 and holds a License No. 043112 (CT). The current practice location address for Erum Shahab is 16 Main St, Ellington, CT 06029-3360 and can be reached out via phone at 860-871-5402 and via fax at 860-871-5413.
Provider Profile Details
- NPI Number
- 1669434049
- Provider Name
- Erum Shahab
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Main St, Ellington, CT 06029-3360
- Phone Number
- 860-871-5402
- Fax Number
- 860-871-5413
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 3, 2006
- Last Update Date
- December 21, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Main St
Ellington, CT 06029-3360 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-3360
- Phone Number
- 860-871-5402
- Fax Number
- 860-871-5413
Provider Business Mailing Address Details
- Address
- 16 Main St
Ellington, CT 06029-3360 - City
- Ellington
- State
- CT
- Zip
- 06029-3360
- Phone Number
- 860-871-5402
- Fax Number
- 860-871-5413
License Information
- License Number (1)
- 043112
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 0431121
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- License Number (3)
- 0431121
- License State (3)
- CT
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Erum Shahab, MD?
The NPI number of Dr. Erum Shahab, MD is 1669434049. It was assigned on April 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Erum Shahab, MD?
Dr. Erum Shahab, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 043112.
Where does Dr. Erum Shahab, MD practice?
The practice location is 16 Main St, Ellington, CT 06029-3360. The office can be reached at 860-871-5402 (phone) or 860-871-5413 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669434049 directly on the NPPES registry website.