Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shohan Shetty, MD

Individual provider Surgery Physician · NPI 1073772356

Shohan Shetty, MD is a General Surgery in Waterbury, Connecticut. Qualified in 2004, 22 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Texas.

Years since qualifying
22
Licensed in
CT, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

133 Scovill St
Waterbury, CT 06706
Phone: (203) 709-6871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 — (214) 645-2900

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 51450 (CT)
Surgery Physician Taxonomy 208600000X · Licence Q0174 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073772356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2008
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address133 Scovill St Ste 303, Waterbury, CT 06706-1127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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