Provider Demographics
NPI:1558387571
Name:MURIEL, SHYLA D (MD)
Entity Type:Individual
Prefix:
First Name:SHYLA
Middle Name:D
Last Name:MURIEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:67 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1328
Mailing Address - Country:US
Mailing Address - Phone:203-732-1330
Mailing Address - Fax:203-732-1332
Practice Address - Street 1:220 MAIN ST STE 1A
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-1065
Practice Address - Country:US
Practice Address - Phone:203-888-5527
Practice Address - Fax:203-888-3727
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT040015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110234800OtherRAILROAD MEDICARE PTAN
CO5749774OtherCIGNA HEALTHCARE OF CT
CTCV5253OtherHEALTHNET
COP2625841OtherOXFORD HEALTH PLANS
CT010040015CT01OtherANTHEM BLUE CROSS BLUE SH
CT061394494OtherUNITED HEALTHCARE
CT2895920OtherAETNA
CT040015OtherCONNECTICARE, INC. & AFFI
CT001400150Medicaid
CTH54952Medicare UPIN
COP2625841OtherOXFORD HEALTH PLANS