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Individual

DR. SHAYAN OZHEN RIAHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
166 WATERBURY RD, PROSPECT, CT 06712-1200
(203) 755-7711
(203) 755-8996
Mailing address
166 WATERBURY RD, PROSPECT, CT 06712
(203) 755-7711
(203) 755-8996

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT019355
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
77358
CT

Other

Enumeration date
06/14/2019
Last updated
08/09/2024
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