NPI 1669145629 · live from the CMS NPI Registry
Ali Alkabasi
Physician Assistant, Surgical in Farmington, CT. National Provider Identifier 1669145629, active.
NPI record
| NPI | 1669145629 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 263 Farmington Ave, Farmington, CT 06030 |
| Practice phone | 860-679-2804 |
| Enumerated | July 27, 2021 |
| Last updated | September 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology | 207Y00000X | 5322 (CT) |
| Physician Assistant, Surgical primary | 363AS0400X | 005322 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.