Ali, Syed Shujaat

Ali, Syed Shujaat is an individual health care provider with primary practice located at 555 Willard Ave , Newington CT 06111-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ali, Syed Shujaat can be contacted via phone (866) 808-7921.

Contact Information

Primary practice address
555 Willard Ave Newington CT 06111-2631
Phone: (866) 808-7921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238145 Massachusetts

Profile Details

NPI number 1508831256
LBN Legal business name Ali, Syed Shujaat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 3rd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508831256 NPPES
Massachusetts MEDICAID 110081065A

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