Individual
DR. MAHSA AVA SOHRAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 VALLEY DR STE 2B, GREENWICH, CT 06831-5203
(203) 340-1301
(442) 223-0286
Mailing address
25 VALLEY DR STE 2B, GREENWICH, CT 06831-5203
(203) 340-1301
(442) 223-0286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
55552
CT
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
2844671
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
55552
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400150908
MEDICARE
NY
Enumeration date
07/06/2010
Last updated
03/22/2023
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