Shanshan Bao, MD
Radiology, Diagnostic Radiology in Wethersfield, Connecticut
1912135211- Practice location
- 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109-4363
- Phone
- 860-289-3375
- Fax
- 860-290-4108
- Last updated
- October 15, 2026
Shanshan Bao is a Radiology, Diagnostic Radiology based in Wethersfield, CT. Shanshan Bao practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Shanshan Bao is 1912135211 and holds a License No. A128667 (CA). The current practice location address for Shanshan Bao is 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109-4363 and can be reached out via phone at 860-289-3375 and via fax at 860-290-4108.
Provider Profile Details
- NPI Number
- 1912135211
- Provider Name
- Shanshan Bao
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109-4363
- Phone Number
- 860-289-3375
- Fax Number
- 860-290-4108
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2009
- Last Update Date
- October 15, 2026
- Certification Date
- October 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1260 Silas Deane Hwy Ste 100
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4363
- Phone Number
- 860-289-3375
- Fax Number
- 860-290-4108
Provider Business Mailing Address Details
- Address
- 1260 Silas Deane Hwy Ste 104
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4363
- Phone Number
- 860-289-3375
- Fax Number
- 860-290-4108
License Information
- License Number (1)
- A128667
- License State (1)
- CA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 270749
- License State (2)
- MA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 56309
- License State (3)
- CT
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X · 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 Shanshan Bao, MD?
The NPI number of Shanshan Bao, MD is 1912135211. It was assigned on June 24, 2009 and is currently active in the NPPES registry.
What is the specialty of Shanshan Bao, MD?
Shanshan Bao, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number A128667.
Where does Shanshan Bao, MD practice?
The practice location is 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109-4363. The office can be reached at 860-289-3375 (phone) or 860-290-4108 (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 1912135211 directly on the NPPES registry website.