Individual
ALI SHAKIBAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
953 MAIN STREET, SUITE 205, MANCHESTER, CT 06040
(860) 649-8074
(860) 647-1129
Mailing address
953 MAIN STREET, SUITE 205, MANCHESTER, CT 06040
(860) 649-8074
(860) 647-1129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016257
CT
Other
Enumeration date
08/10/2006
Last updated
10/14/2011
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