Individual
MAMADI KEITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3765
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1916
(860) 679-2147
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
125069718
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
07/21/2022
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