Individual
DR. SOBHY LABIB GHABRIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
153 MAIN ST, MANCHESTER, CT 06042-3112
(860) 646-3586
(860) 646-7793
Mailing address
153 MAIN ST, MANCHESTER, CT 06042-3112
(860) 646-3586
(860) 646-7793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14809
CT
2080A0000X
Pediatric Adolescent Medicine Physician
14809
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00114809700
BLUE CARE FAMILY PLAN
CT
01
—
010014809CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
—
024809
CONNECTICARE
CT
01
—
0R0751
HEALTHNET
CT
01
—
1014809
CIGNA HEALTH PLAN
CT
01
—
83175
AETNA
CT
01
—
HAP280
OXFORD HEALTH PLAN
CT
Enumeration date
04/10/2006
Last updated
07/13/2007
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