Individual
MANIJEH ZEHTABCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(203) 688-2259
(203) 688-5599
Mailing address
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
51296
CT
2085R0202X
Diagnostic Radiology Physician
51296
CT
Other
Enumeration date
02/11/2009
Last updated
07/05/2018
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