Dr Hansa H Shah, MD is a
Psychiatry & Neurology - Psychiatry based in Bridgeport, Connecticut. Dr Hansa H Shah is licensed to practice in Connecticut (license number 019875) and her current practice location is
399 Mill Hill Ave, Bridgeport, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(888) 822-2270.
NPI number for Dr Hansa H Shah is 1457553513 and her current mailing address is 399 Mill Hill Ave, Bridgeport, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457553513.
Healthcare Provider's Profile
| Full Name | Dr Hansa H Shah |
|---|
| Gender | Female |
|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
|---|
| Location | 399 Mill Hill Ave, Bridgeport, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457553513
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 06/26/2008
Medical Identifiers
Medical identifiers for Dr Hansa H Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457553513 | NPI | - | NPPES |
| 004238764 | Medicaid | CT | |
| 004052023 | Medicaid | CT | |
| 004258366 | Medicaid | CT | |
| 004258374 | Medicaid | CT | |
| 004191962 | Medicaid | CT | |
| 004259025 | Medicaid | CT | |
| 004188282 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 019875 (Connecticut) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 019875 (Connecticut) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 019875 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hansa H Shah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Hansa H Shah, MD
399 Mill Hill Ave,
Bridgeport, CT 06610-2865
Ph: (888) 822-2270 | Dr Hansa H Shah, MD
399 Mill Hill Ave,
Bridgeport, CT 06610-2865
Ph: (888) 822-2270 |
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