Ahmed Hasan R Althobaiti, MD, SBN

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · North Haven, CT

NPI 1508428889 · NPPES record last updated Jul 8, 2019

Key facts

NPI
1508428889
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
6 Devine St
North Haven, CT 06473-2195
Phone
(203) 287-6100
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: aalthobaiti431239@direct.ynhh.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

6 Devine St
North Haven, CT 06473-2195

Mailing address

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Other providers in North Haven, CT

All providers in North Haven, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.