Individual
DR. MOHAMMAD ALJANABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74 PARK RD, WEST HARTFORD, CT 06119-1853
(860) 218-1725
(860) 218-1727
Mailing address
74 PARK RD, WEST HARTFORD, CT 06119-1853
(860) 218-1725
(860) 218-1727
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421792
—
CT
01
—
11528277
CAQH
CT
Enumeration date
06/10/2006
Last updated
05/24/2012
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