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Contact Information

MAHD NISHTAR
2800 MAIN ST
BRIDGEPORT, CT06606-4201
 Phone: 203-382-2350
 Fax: 203-581-6587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MAHD NISHTAR · (Male)

NPI # 1992361299
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2019
Last updated 07/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 78883
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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