Individual provider · Type 1 NPI
Shanta Shepherd, MD
Urology Physician · Glastonbury, CT
NPI number
1174986756
Active
Practice location
730 Hebron Ave Ste 10
Glastonbury, CT 06033-5016
Fax (860) 266-5511
Other practice locations
- 175 Martin Ave Ste 350, Ephrata, PA 17522-1763 · (717) 738-5632
- 550 Isabel Dr Ste 2, Lebanon, PA 17042-7224 · (717) 675-1953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | 68747 (CT) |
| Urology Physician | 208800000X | MD496871 (PA) |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2 other providers at this address
About NPI 1174986756
Shanta Shepherd, MD's National Provider Identifier is 1174986756, issued on Apr 1, 2016. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Glastonbury, CT. The record was last updated on Sep 4, 2026.