Search › Connecticut › 208800000X
Shanta Shepherd, M.D,
NPI 1174986756 · on the registry since 2016
Practice
- Address
- 730 Hebron Ave Ste 10
Glastonbury, CT 06033 - Phone
- (860) 266-5550
- Fax
- (860) 266-5511
- Organisation at this address
- Immerse Llc
Elevate Urology Llc
Uroglow Aesthetics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 175 Martin Ave Ste 350, Ephrata, PA
- 550 Isabel Dr Ste 2, Lebanon, PA
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 208800000X
- Licence states on file
- CT, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut