Individual provider · NPI-1

Dr. Mohammad Ali Akbari Fatidehi, MD

Podiatrist, Public Medicine · Farmington, CT

NPI number1689867376
StatusActive
Last updated in NPPESAug 25, 2007

Details

NPI
1689867376
Entity type
Individual (NPI-1)
Name
Dr. Mohammad Ali Akbari Fatidehi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2007
Last updated
Aug 25, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213EP0504X Podiatrist, Public Medicine0000000000000CTYes

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Phone 860-679-3467

Mailing address

221 Trumbull St Apt 1904
Hartford, CT 06103-1523

Phone 860-297-0100

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