Individual
IJAZ SHAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GROVE ST, 2ND FLOOR, NEW BRITAIN, CT 06053-4116
(860) 224-7159
(860) 225-7122
Mailing address
1 GROVE ST, 2ND FLOOR, NEW BRITAIN, CT 06053-4116
(860) 224-7159
(860) 225-7122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
015645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008008150
—
CT
01
—
010015645CT01
ANTHEM
CT
Enumeration date
11/28/2005
Last updated
03/29/2022
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