Provider Demographics
NPI:1942264684
Name:SHEFFIELD, EUGENE GUILD (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:GUILD
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 WINCHESTER AVENUE
Mailing Address - Street 2:#347
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-1917
Mailing Address - Country:US
Mailing Address - Phone:214-636-1997
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-200-5180
Practice Address - Fax:203-200-5170
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH59672085P0229X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125561405Medicaid
E46801Medicare UPIN
TX125561405Medicaid