Seyed Shahab Jazayeri Moghaddas, MD
Internal Medicine in Waterbury, Connecticut
1487113551- Practice location
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone
- 203-709-8685
- Fax
- —
- Last updated
- June 13, 2022
Seyed Shahab Jazayeri Moghaddas is an Internal Medicine based in Waterbury, CT. Seyed Shahab Jazayeri Moghaddas practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Seyed Shahab Jazayeri Moghaddas is 1487113551 and holds a License No. 69806 (CT). The current practice location address for Seyed Shahab Jazayeri Moghaddas is 56 Franklin St, Waterbury, CT 06706-1253 and can be reached out via phone at 203-709-8685.
Provider Profile Details
- NPI Number
- 1487113551
- Provider Name
- Seyed Shahab Jazayeri Moghaddas
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone Number
- 203-709-8685
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 18, 2019
- Last Update Date
- June 13, 2022
- Certification Date
- June 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Franklin St
Waterbury, CT 06706-1253 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1253
- Phone Number
- 203-709-8685
Provider Business Mailing Address Details
- Address
- 1711 S 3RD St
Louisville, KY 40208-1917 - City
- Louisville
- State
- KY
- Zip
- 40208-1917
- Phone Number
- 502-322-2241
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 69806
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Waterbury, CT
View all Internal Medicine providers in Waterbury →- Akua A Sam, MDInternal Medicine · NPI 1568454635
- Alina Bobrova, MDInternal Medicine · NPI 1548949696
- Amit Barua, MBBSInternal Medicine · NPI 1710620760
- Ammar Huq, MDInternal Medicine · NPI 1417418534
- Andreea E Neamtu, MDInternal Medicine · NPI 1689929168
- Annie Rose P Ong, MDInternal Medicine · NPI 1376040550
Frequently Asked Questions
What is the NPI number of Seyed Shahab Jazayeri Moghaddas, MD?
The NPI number of Seyed Shahab Jazayeri Moghaddas, MD is 1487113551. It was assigned on March 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Seyed Shahab Jazayeri Moghaddas, MD?
Seyed Shahab Jazayeri Moghaddas, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 69806.
Where does Seyed Shahab Jazayeri Moghaddas, MD practice?
The practice location is 56 Franklin St, Waterbury, CT 06706-1253. The office can be reached at 203-709-8685 (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 1487113551 directly on the NPPES registry website.