Individual provider · Type 1 NPI

Anush Shah, DMD, MD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1649813247 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-1590

Call (860) 679-3004 Map

Mailing address

260 Farmington Ave
Farmington, CT 06030-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X13407 (CT)
General Practice Dentistry 1223G0001X22DI02786500 (NJ)

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.

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About NPI 1649813247

Anush Shah, DMD, MD's National Provider Identifier is 1649813247, issued on Oct 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jan 27, 2026.