Organization
IJAZ SHAFI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJAZ SHAFI M.D. (PRESIDENT)
(860) 224-7159
Entity
Organization
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
02/03/2009
Last updated
03/29/2022
Update your record
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