Individual
MS. SHOLEH KAMALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 LEWIS AVE, MIDSTATE MEDICAL CENTER, MERIDEN, CT 06451
(203) 284-1340
(203) 265-4557
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043872
CT
207R00000X
Internal Medicine Physician
Primary
253860
MA
207R00000X
Internal Medicine Physician
25MA09017400
NJ
208M00000X
Hospitalist Physician
043872
CT
208M00000X
Hospitalist Physician
265590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010043872CT01
BC
CT
01
—
043872
CONNECTICARE
CT
01
—
2V6574
HEALTHNET
CT
Enumeration date
07/11/2006
Last updated
11/06/2024
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