Individual
KHALED ABAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 SAYBROOK RD STE A, MIDDLETOWN, CT 06457-4859
(860) 636-2010
(860) 636-2045
Mailing address
1290 SILAS DEANE HWY, HHC CVO, WETHERSFIELD, CT 06109-4337
(860) 972-5507
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
84918
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
06/11/2026
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