Mahooti, Shirin

Mahooti, Shirin is an individual health care provider with primary practice located at 1389 W Main St Tower 1, Suite 207, Waterbury CT 06708-3104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mahooti, Shirin can be contacted via phone (203) 574-4473.

Contact Information

Primary practice address
1389 W Main St Tower 1, Suite 207 Waterbury CT 06708-3104
Phone: (203) 574-4473
Fax: (203) 574-4953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 02110 Connecticut

Profile Details

NPI number 1871571943
LBN Legal business name Mahooti, Shirin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871571943 NPPES
Connecticut Other 00122110000 BLUE CARE FAMILY PLAN
Connecticut Other 745722 BLUE CARE FAMILY PLAN
Connecticut Other OR2032 BLUE CARE FAMILY PLAN
Connecticut Other 010022110CT01 BLUE CARE FAMILY PLAN

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