Aljanaby, Mohammad

Aljanaby, Mohammad is an individual health care provider with primary practice located at 74 Park Rd , West Hartford CT 06119-1853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Aljanaby, Mohammad can be contacted via phone (860) 218-1725.

Contact Information

Primary practice address
74 Park Rd West Hartford CT 06119-1853
Phone: (860) 218-1725
Fax: (860) 218-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 042179 Connecticut

Profile Details

NPI number 1003857707
LBN Legal business name Aljanaby, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated May 24th, 2012 - about 12 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 1003857707 NPPES
Connecticut Other 11528277 CAQH
Connecticut MEDICAID 001421792 CAQH

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