Individual
SHELLI F FARHADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 688-5555
(203) 688-4516
Mailing address
333 CEDAR ST, PO BOX 208030, NEW HAVEN, CT 06510-3206
(203) 688-5555
(203) 688-4516
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
60802
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
08/29/2018
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