Misbah M. Vahidy, MD, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19550 Issued in CT

Legal business name

MISBAH M. VAHIDY, MD, PC

Practice address

546 S Broad St
Suite 2E
Meriden, CT 06450-6600

Phone

(203) 238-3871

Fax

(203) 238-4698

NPI assigned

Jan 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Misbah M. Vahidy, M.D.

Title

President

Phone

(203) 238-3871

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1639449408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "address_2": "SUITE 2E",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506600",
            "telephone_number": "203-238-3871",
            "fax_number": "203-238-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "address_2": "SUITE 2E",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506600",
            "telephone_number": "203-238-3871",
            "fax_number": "203-238-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISBAH M. VAHIDY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "VAHIDY",
        "authorized_official_first_name": "MISBAH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-238-3871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "19550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001195502",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas T Miller, M.D.
• Hillary Miller, DNP
• Kelly M Miller, LCSW
• Shelby Ming, M.A.
• Mubarik N Mir
• William C Mitchard, DPM
• Satina Mitchell, LCSW
• Fukami Mizuno
• Bita Moeinifar, OD
• Justin Tyrone Montanye, MD

• Surgery Physician in Meriden, CT
• Providers in Meriden, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.