Khushali Shah (NPI# 1841601143, PAC ID# 7911274006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841601143 |
| PAC ID by PECOS | 7911274006 |
| Professional Enrollment ID | I20190717001658 |
| Full Name | Khushali Shah |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Address |
79 Sand Pit Rd Suite 102 Danbury CT 06810-4010 |
| Phone Number | 2037495700 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4789597691 |
| Number of Group Practice Members | 567 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070033 | DANBURY HOSPITAL |
| 070034 | NORWALK HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 | 2037495700 | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Physicians | 551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Jean Moore | Nurse Practitioner | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Patrice Thornton | Internal Medicine | Western Connecticut Medical Group Inc | 96 Route 37, New Fairfield, CT 06812 |
| Paola Ninoska Cruz Chery | Internal Medicine | Western Connecticut Medical Group Inc | 497 Westport Ave, Norwalk, CT 06851-4411 |
| Swati Srivastava | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Jasmina Krstic | Internal Medicine | Western Connecticut Medical Group Inc | 363 Reef Rd, Fairfield, CT 06824-6582 |
| Rachel H Chung | Family Medicine | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Marc Joseph Casasanta | Colorectal Surgery (proctology) | Western Connecticut Medical Group Inc | 111 Osborne St, Suite 121, Danbury, CT 06810-6019 |
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Marcos Ramiro Lamas | Endocrinology | Western Connecticut Medical Group Inc | 25 Germantown Rd, Danbury, CT 06810-5036 |
| Tatyana Axyonova | Nurse Practitioner | Western Connecticut Medical Group Inc | 830 Post Rd E, Westport, CT 06880-5222 |
| Street Address |
79 SAND PIT RD SUITE 102 |
| City | DANBURY |
| State | CT |
| Zip | 06810-4010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swati Srivastava | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Christofer John Fort | Internal Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Nick Florio | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Scott P Sanderson | Neurosurgery | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Stacey L Lombardo | Nurse Practitioner | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Ann Marie Hawkins | Nurse Practitioner | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Grazyna Kaszycki | Internal Medicine | Western Connecticut Medical Group, Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Kelly A Melchionno | Nurse Practitioner | Western Connecticut Medical Group, Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Moreira | Neurology | 24 Danbury Ave, Danbury, CT 06810 | |
| Michael Baroody | Plastic and Reconstructive Surgery | 51 -53 Kenosia Ave, Suite 201, Danbury, CT 06810-2301 | |
| Amanda G Madkour | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Diane St Pierre | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Edward M Beck | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| John J Bruno | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Lin Li | Pathology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Jeffrey I Gorelick | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Guy J Manetti | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Andrea H Russo | Obstetrics/gynecology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Find all physicians in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DANBURY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Khushali Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.