Provider Demographics
NPI:1356803175
Name:MENA, SHAYLA ALARA (MD)
Entity type:Individual
Prefix:DR
First Name:SHAYLA
Middle Name:ALARA
Last Name:MENA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 MAIN ST UNIT 2503
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-2326
Mailing Address - Country:US
Mailing Address - Phone:517-643-0803
Mailing Address - Fax:
Practice Address - Street 1:164 MOUNT PLEASANT RD STE 200
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1477
Practice Address - Country:US
Practice Address - Phone:203-885-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.148222207LP2900X
CT78092207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine