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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1811169543 NPPES
Maine MEDICAID 432965699

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