NPI | 1588478135 |
---|---|
Former Legal Business Name | KELLY JAZIRI, M.D. |
Entity Type | Organization |
Authorized Contact | KELLY JAZIRI Owner/Psychiatrist 860-889-3052 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-02-04 |