DR. KHUBAIB MANSORI (NPI# 1053764308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053764308 |
| Entity Type | Individual |
| Full Name | DR. KHUBAIB MANSORI |
| Credential | M.D. |
| Practice Address |
430 Highland Ave Cheshire CT 06410-2565 |
| Practice Telephone | 9195182115 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 025900 | CT | Ambulatory Health Care Facilities |
| Street Address |
430 HIGHLAND AVE |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881793511 | Medical Care Center of Cheshire,inc | Internal Medicine | 430 Highland Ave, Cheshire, CT 06410-2562 | 2006-09-21 |
| 1790154953 | Medical Care Center | General Practice | 430 Highland Ave, Cheshire, CT 06410-2565 | 2015-09-17 |
| 1972604528 | Husam Bahgat Shitia | Internal Medicine | 430 Highland Ave, Cheshire, CT 06410-2562 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588893192 | Kelly Chiropractic and Rehabilitation Center LLC | Clinic/Center | 366 S Main St, Cheshire, CT 06410-3115 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039093 | Thrive Haven LLC | Clinic/Center | 195 James St Fl 1, New Haven, CT 06513-3847 | 2020-10-05 |
| 1083229165 | Kusher Functional Medicine Center PC | Clinic/Center | 76 Eastern Blvd Ste 103, Glastonbury, CT 06033-4382 | 2020-09-15 |
| 1609414176 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 154 Toll Gate Rd, Groton, CT 06340-3444 | 2019-12-16 |
| 1811532500 | Alpha Wave Health Centers LLC | Clinic/Center | 10 Waterside Dr Ste 101, Farmington, CT 06032-3056 | 2019-11-17 |
| 1093282360 | Tms Neurohealth Pllc | Clinic/Center | 728 Post Rd E Ste 202, Westport, CT 06880-5200 | 2018-10-25 |
| 1982179784 | Wellness Primary Care Pllc | Clinic/Center | 291 S Lambert Rd Ste 5, Orange, CT 06477-3559 | 2018-10-08 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1235588625 | Family Centers Inc. | Clinic/Center | 1 Wilbur Peck Ct Lowr Level, Greenwich, CT 06830-6354 | 2016-06-07 |
| 1578926424 | Chiropractic Wellness Center | Clinic/Center | 75 Hazard Ave Unit I, Enfield, CT 06082-3887 | 2016-03-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.