Wellformed AI

NPI 1912218918 · live from the CMS NPI Registry

Ali Banki, D.O.

Dermatology in Glastonbury, CT. National Provider Identifier 1912218918, active.

NPI record

NPI1912218918 Type 1 · individual
StatusActive
Primary specialtyDermatology 207N00000X
Practice location2928 Main St Ste 200, Glastonbury, CT 06033
Practice phone860-659-2779
EnumeratedJune 24, 2010
Last updatedJune 29, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000X048744 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.