Individual
SAMIRA NESHAT VAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, TOMPKINS 209, NEW HAVEN, CT 06510-3220
(336) 546-2922
Mailing address
75 FERNWOOD ROAD, LARCHMONT, NY 10538
(336) 546-2922
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
1.055398
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2013
Last updated
09/19/2017
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