Individual
BAHMAN JABBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 TEMPLE ST, SUITE 6C, NEW HAVEN, CT 06510-2715
(203) 785-4085
(203) 737-1597
Mailing address
300 GEORGE ST, PO BOX 9805, NEW HAVEN, CT 06511-6624
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
041837
CT
2084N0600X
Clinical Neurophysiology Physician
Primary
041837
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001418377
—
CT
Enumeration date
11/17/2005
Last updated
07/21/2008
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