Individual
DR. KAVEH SHAHMOHAMMADI DAVOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1449 OLD WATERBURY RD, UNIT 101, SOUTHBURY, CT 06488-3926
(203) 210-6333
(203) 502-2615
Mailing address
16 SPRUCE LN, WEATOGUE, CT 06089-9401
(203) 982-2218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
043700
CT
2086S0102X
Surgical Critical Care Physician
043700
CT
2086S0129X
Vascular Surgery Physician
Primary
043700
CT
Other
Enumeration date
07/13/2007
Last updated
04/21/2022
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