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SHAREEF JANDALI MD NPI 1265598130


NPI Information

NPI: 1265598130
Provider Name: SHAREEF JANDALI, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
5520 PARK AVE
SUITE WP-2-300
TRUMBULL, CT
ZIP 06611
Phone: (203) 374-0310
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Shareef Jandali, MD is a plastic and reconstructive surgery surgery in Trumbull, CT with 19 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Shareef Jandali, MD NPI is 1265598130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2005

The provider's business location address is:

5520 PARK AVE
SUITE WP-2-300
TRUMBULL, CT
ZIP 06611-463
Phone: (203) 374-0310
Fax: (203) 374-0314

The NPI 1265598130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 10/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery049538CONNECTICUTYes
2208200000XPlastic SurgeryMT185935PENNSYLVANIANo
3208200000XPlastic SurgeryMD 049538CONNECTICUTNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.