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Individual

DR. SHABNAM M. KASHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4637 MAIN STREET, BRIDGEPORT, CT 06606-5048
(203) 374-8000
(203) 374-2233
Mailing address
4637 MAIN STREET, BRIDGEPORT, CT 06606-5048
(203) 374-8000
(203) 374-2233

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045088
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045088
MEDICAL LICENSE
CT
Enumeration date
03/23/2007
Last updated
02/04/2014
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