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Contact Information

KAMILLA AGABABAYEVA
100 GREYROCK PL STE 116
STAMFORD, CT06901-3113
 Phone: 203-348-0300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KAMILLA AGABABAYEVA · (Female)

NPI # 1164165874
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2022
Last updated 06/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 13737
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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