| Shah Wound Solutions LLC | |
|
360 State St Apt 2721 New Haven CT 06510-3628 | |
| (312) 342-1901 | |
| Not Available |
| Full Name | Shah Wound Solutions LLC |
|---|---|
| Speciality | General Practice |
| Location | 360 State St Apt 2721, New Haven, Connecticut |
| Authorized Official Name and Position | Abhinit Drupad Shah (OWNER/MEDICAL DIRECTOR/AO) |
| Authorized Official Contact | 3123421901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Wound Solutions LLC 360 State St Apt 2721 New Haven CT 06510-3628 Ph: (312) 342-1901 | Shah Wound Solutions LLC 360 State St Apt 2721 New Haven CT 06510-3628 Ph: (312) 342-1901 |
| NPI Number | 1780574475 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Medicare PECOS PAC ID | 4789171182 |
|---|---|
| Medicare Enrollment ID | O20251017000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780574475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208600000X | Surgery | () | Secondary |
| 208D00000X | General Practice | () | Primary |
| Provider Name | Abhinit Drupad Shah |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801423207 PECOS PAC ID: 7719337922 Enrollment ID: I20240411001063 |
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