Shareef Jandali, MD
Surgery, Plastic and Reconstructive Surgery in Trumbull, Connecticut
1265598130- Practice location
- 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463
- Phone
- 203-374-0310
- Fax
- 203-374-0314
- Last updated
- October 11, 2019
Shareef Jandali is a Surgery, Plastic and Reconstructive Surgery based in Trumbull, CT. Shareef Jandali practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Shareef Jandali is 1265598130 and holds a License No. 049538 (CT). The current practice location address for Shareef Jandali is 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463 and can be reached out via phone at 203-374-0310 and via fax at 203-374-0314.
Provider Profile Details
- NPI Number
- 1265598130
- Provider Name
- Shareef Jandali
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463
- Phone Number
- 203-374-0310
- Fax Number
- 203-374-0314
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 28, 2006
- Last Update Date
- October 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5520 Park Ave
Suite Wp-2-300
Trumbull, CT 06611-3463 - City
- Trumbull
- State
- Connecticut
- Zip
- 06611-3463
- Phone Number
- 203-374-0310
- Fax Number
- 203-374-0314
Provider Business Mailing Address Details
- Address
- 5520 Park Ave
Suite Wp-2-300
Trumbull, CT 06611-3463 - City
- Trumbull
- State
- CT
- Zip
- 06611-3463
- Phone Number
- 203-374-0310
- Fax Number
- 203-374-0314
License Information
- License Number (1)
- 049538
- License State (1)
- CT
- Taxonomy (1)
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
- License Number (2)
- MT185935
- License State (2)
- PA
- Taxonomy (2)
- Plastic Surgery · 208200000X
- License Number (3)
- MD 049538
- License State (3)
- CT
- Taxonomy (3)
- Plastic Surgery · 208200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery, Plastic and Reconstructive Surgery providers near Trumbull, CT
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Frequently Asked Questions
What is the NPI number of Shareef Jandali, MD?
The NPI number of Shareef Jandali, MD is 1265598130. It was assigned on December 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Shareef Jandali, MD?
Shareef Jandali, MD is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 049538.
Where does Shareef Jandali, MD practice?
The practice location is 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463. The office can be reached at 203-374-0310 (phone) or 203-374-0314 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265598130 directly on the NPPES registry website.