Ali A Khodadoust MD

NPI 1093798159 - Ophthalmology - 207W00000X

NPI Details
NPI 1093798159
Gender Male
Enumeration Date 11/22/2005
Last Updated 08/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
40 TEMPLE ST
SUITE 3A
NEW HAVEN CT, 06510-2715, US
Phone (203) 785-2020
Fax (203) 785-6123
Business Location
PO BOX 9805
300 GEORGE STREET 6TH FLOOR
NEW HAVEN CT, 06536-0805, US
Phone
Fax
Toxanomy
Taxonomy Code 207W00000X
License State Connecticut
License Number 030415
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According to our database, Ali A Khodadoust MD NPI is 1093798159, taxonomy code is 207W00000X and license number is 030415, license state is located at Connecticut. Ali A Khodadoust MD physically located at 40 Temple St, New Haven CT, 06510-2715. NPI Number Ali A Khodadoust MD has the Individual type.

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1093798159 NPI number is provided on an as is basis without warranty of any kind. 1093798159 is maintained by the National Plan & Provider Enumeration System. The contents of Ali A Khodadoust MD are for informational purposes only.