SHAREEF JANDALI PLASTIC SURGERY LLC NPI 1730488982

NPI Information

  • NPI: 1730488982
  • Provider Name: SHAREEF JANDALI PLASTIC SURGERY LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 5520 PARK AVE
    SUITE WP-2-300
    TRUMBULL, CT
    ZIP 06611
  • Phone: (203) 374-0310

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NPI Details

SHAREEF JANDALI PLASTIC SURGERY LLC is a plastic and reconstructive surgery surgery in Trumbull, CT. The provider is a surgeon who specializes in plastic and reconstructive surgery. SHAREEF JANDALI PLASTIC SURGERY LLC NPI is 1730488982. The provider is registered as an organization entity type and is a single specialty group.

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 provider's authorized official is Shareef Jandali .
The authorized official title is Owner and has the following contact phone number (203) 374-0310.

The enumeration date for this NPI number is 3/26/2011 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery049538CONNECTICUTYes

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: 11/21/2025

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