Maryam Abdishoo, NP
Nurse Practitioner, Family in Putnam, Connecticut
1275143778- Practice location
- 7 Kennedy Dr, Putnam, CT 06260-1939
- Phone
- 860-928-6541
- Fax
- —
- Last updated
- April 2, 2026
Maryam Abdishoo is a Nurse Practitioner, Family based in Putnam, CT. Maryam Abdishoo practices in Putnam, CT and has the professional credentials of NP. The NPI Number for Maryam Abdishoo is 1275143778 and holds a License No. 11977 (CT). The current practice location address for Maryam Abdishoo is 7 Kennedy Dr, Putnam, CT 06260-1939 and can be reached out via phone at 860-928-6541.
Provider Profile Details
- NPI Number
- 1275143778
- Provider Name
- Maryam Abdishoo
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7 Kennedy Dr, Putnam, CT 06260-1939
- Phone Number
- 860-928-6541
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 9, 2020
- Last Update Date
- April 2, 2026
- Certification Date
- April 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Kennedy Dr
Putnam, CT 06260-1939 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1939
- Phone Number
- 860-928-6541
Provider Business Mailing Address Details
- Address
- 59 Quaddick RD
Thompson, CT 06277-2209 - City
- Thompson
- State
- CT
- Zip
- 06277-2209
- Phone Number
- 860-928-6541
License Information
- License Number
- 11977
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Putnam, CT
View all Nurse Practitioner, Family providers in Putnam →Frequently Asked Questions
What is the NPI number of Maryam Abdishoo, NP?
The NPI number of Maryam Abdishoo, NP is 1275143778. It was assigned on August 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Maryam Abdishoo, NP?
Maryam Abdishoo, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 11977.
Where does Maryam Abdishoo, NP practice?
The practice location is 7 Kennedy Dr, Putnam, CT 06260-1939. The office can be reached at 860-928-6541 (phone).
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 1275143778 directly on the NPPES registry website.