Individual provider · Type 1 NPI

Nikita Shadani, PA-C

Physician Assistant · Fairfield, CT

NPI number 1003677154 Active

Practice location

5151 Park Ave
Fairfield, CT 06825-1090

Call (203) 371-7999 Map

Mailing address

444 E Roosevelt Rd Ste 256
Lombard, IL 60148-4630

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003677154

Nikita Shadani, PA-C's National Provider Identifier is 1003677154, issued on Jan 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfield, CT. The record was last updated on Sep 2, 2026.