Active NPI
Sobhy Labib Ghabrial, M.D.
- Pediatrics Physician
- Manchester, CT
National Provider Identifier
1497718514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14809
- Practice address
- 153 Main St
Manchester, CT 06042-3112 - Phone
- (860) 646-3586
- Fax
- (860) 646-7793
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14809 | CT | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 14809 | CT |
Addresses
Primary practice location
153 Main St
Manchester, CT 06042-3112
Mailing address
153 Main St
Manchester, CT 06042-3112
Phone (860) 646-3586
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024809 | Other | CT | CONNECTICARE |
| HAP280 | Other | CT | OXFORD HEALTH PLAN |
| 83175 | Other | CT | AETNA |
| 010014809CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
| 0R0751 | Other | CT | HEALTHNET |
| 1014809 | Other | CT | CIGNA HEALTH PLAN |
| 00114809700 | Other | CT | BLUE CARE FAMILY PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14809 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1497718514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423112",
"telephone_number": "860-646-3586",
"fax_number": "860-646-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423112",
"telephone_number": "860-646-3586",
"fax_number": "860-646-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHABRIAL",
"first_name": "SOBHY",
"middle_name": "LABIB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "14809",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CT",
"license": "14809",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "024809",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "HAP280",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "83175",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "010014809CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0R0751",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "1014809",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE FAMILY PLAN",
"identifier": "00114809700",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.