Organization
ALI SHAKIBAI, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAKIBAI MD (OWNER)
(860) 649-8074
Entity
Organization
Contact information
Practice address
945 MAIN ST, SUITE 205, MANCHESTER, CT 06040-6064
(860) 649-8074
(860) 647-1129
Mailing address
945 MAIN ST, SUITE 205, MANCHESTER, CT 06040-6064
(860) 649-8074
(860) 647-1129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016257
CT
Other
Enumeration date
09/27/2011
Last updated
08/20/2012
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