Reza, Shabbir
Reza, Shabbir is an individual health care provider with primary practice located at 711 Cottage Grove Rd , Bloomfield CT 06002-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reza, Shabbir can be contacted via phone (860) 242-8756.Contact Information
Primary practice address
711 Cottage Grove Rd
Bloomfield CT 06002-3060
Phone: (860) 242-8756
Fax: (860) 242-3052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 017782 | Maine |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 71530 | Connecticut |
Profile Details
| NPI number | 1811169543 |
|---|---|
| LBN Legal business name | Reza, Shabbir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2008 |
| Last updated | Aug 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811169543 | NPPES |
| Maine | MEDICAID | 432965699 |
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