Individual provider · Type 1 NPI
Mir Shah
Student in an Organized Health Care Education/Training Program · Derby, CT
NPI number
1063206498
Active
Practice location
130 Division St Griffin Hospital
Derby, CT 06418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
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- Nehal Lakdawala, MEDICAL STUDENTStudent in an Organized Health Care Education/Training Program Derby, CT NPI 1083390793
About NPI 1063206498
Mir Shah's National Provider Identifier is 1063206498, issued on Apr 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Derby, CT. The record was last updated on Aug 14, 2025.