Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 043051 | CT |
NPI | 1508021809 |
---|---|
Provider Name | Dr. Laleh Ardeshirpour |
First Address | Hamden, CT 06518-3026 |
Second Address | Hamden, CT 06518-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 03/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8002773 | (05) | CT |