NPI 1063493682 · live from the CMS NPI Registry
Shashi Chaddha, MD
Radiology, Diagnostic Radiology in Bridgeport, CT. National Provider Identifier 1063493682, active.
NPI record
| NPI | 1063493682 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2800 Main St, Bridgeport, CT 06606 |
| Practice phone | 203-576-5067 |
| Mailing address | Po Box 9135, Att:Sharon Silva, Brookline, MA 02446 |
| Enumerated | November 10, 2005 |
| Last updated | December 10, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 016038 (CT) |
| 2085N0700X | 016038 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.