Individual
HOSSAIN MOHAMMAD EKHLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
Mailing address
17 KENSINGTON LN UNIT 203, ROCKY HILL, CT 06067-3643
(917) 215-9048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61718
CT
207R00000X
Internal Medicine Physician
061718
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2015
Last updated
08/11/2018
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