MEDICARE: SHWETHA SHENOD MBBS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1811820426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHWETHA SHENOD MBBS

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVENUE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-1921
Country	:	US
Telephone Number	:	860-679-2147
Fax Number	:

Provider Business Practice Location Address
First Line	:	UCONN HEALTH BRAIN & SPINE INSTITUTE
Second Line	:	5 MUNSON ROAD, MC 5550
City	:	FARMINGTON
State	:	CT
Zip	:	06032
Country	:	US
Telephone Number	:	860-679-4888
Fax Number	:	860-679-0134

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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