Individual
TASLIMA SHAIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4223
(860) 696-2400
Mailing address
61 POMEROY AVE, SUITE 105/108, MERIDEN, CT 06451
(833) 861-5433
(860) 224-5803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62433
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62433
LICENSE
CT
Enumeration date
05/14/2014
Last updated
01/21/2021
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