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1184315186
KAMRAN KIZILBASH
HARTFORD, CT
NPI
1184315186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CT 41695)
Enumeration Date
2023-05-19
Last Update Date
2023-08-02
Business Address
KAMRAN KIZILBASH MD
409 MAPLE AVENUE-D2N
HARTFORD, CT 06106
Phone number: 860-545-7062
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Mailing Address
KAMRAN KIZILBASH MD
200 RETREAT AVE
HARTFORD, CT 06106-3309
Phone number: 860-545-7062
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