Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 54779 | CT |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 54779 | CT |
NPI | 1275733537 |
---|---|
Provider Name | Dr. Shuaib A Latif |
First Address | Stamford, CT 06902-3602 |
Second Address | Stamford, CT 06902-3602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 13/01/2017 |