Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD M SHOUP, MD
ActiveRICHARD M SHOUP, MD is a Sports Medicine (IM) healthcare provider located in MANCHESTER, Connecticut. NPI 1518930957 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · MANCHESTER, CT
Registration Details
- NPI Number
- 1518930957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2006 (20.54899711563 yrs)
- Last Updated
- May 6, 2020
- Licenses
-
033290 (CT)33290 (CT)033290 (CT)
Practice Information
- Address
-
112 SPENCER STMANCHESTER, CT, 060404601Browse CT providers · Browse ZIP 06040
- Phone
- 8604325600
- Fax
- 8604325622
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.