| Ali Shakibai, Md, Llc | |
|
945 Main St Suite 205 Manchester CT 06040-6064 | |
| (860) 649-8074 | |
| (860) 647-1129 |
| Full Name | Ali Shakibai, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 945 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Ali Shakibai (OWNER) |
| Authorized Official Contact | 8606498074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Shakibai, Md, Llc 945 Main St Suite 205 Manchester CT 06040-6064 Ph: (860) 649-8074 | Ali Shakibai, Md, Llc 945 Main St Suite 205 Manchester CT 06040-6064 Ph: (860) 649-8074 |
| NPI Number | 1134402019 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 08/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134402019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 016257 (Connecticut) | Primary |
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