MEDICARE: ARDIT SHEHU DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	67814	CT

General Provider Information

NPI Number	:	1750887121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARDIT SHEHU DO

Provider Business Mailing Address
First Line	:	1290 SILAS DEANE HWY
Second Line	:
City	:	WETHERSFIELD
State	:	CT
Zip	:	06109-4337
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-1964
Country	:	US
Telephone Number	:	860-677-3950
Fax Number	:	860-724-4397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2018
Last Update Date	:	07/01/2021

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Directions to “ ARDIT SHEHU DO” Practice Location

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