NPI | 1215398920 |
---|---|
Doing Business As | SHIFA CLINIC |
Entity Type | Organization |
Authorized Contact | MOHAMED ALTAF HUSSAIN CEO/Advance Practice Registered Nur 860-324-7988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005393) |
Enumeration Date | 2016-03-09 |
Last Update Date | 2024-02-05 |