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NPI Code Detail

MEDICARE: AMIRA ALI ABIHAIDAR DPM

MEDICARE: AMIRA ALI ABIHAIDAR DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist1212CT
2213ES0131XFoot Surgery Podiatrist1212CT

General Provider Information

NPI Number : 1477296309
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIRA ALI ABIHAIDAR DPM
Provider Business Mailing Address
First Line : 2 BARNES INDUSTRIAL RD S
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2486
Country : US
Telephone Number : 203-626-0160
Fax Number : 203-294-6734
Provider Business Practice Location Address
First Line : 84 N MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-3061
Country : US
Telephone Number : 203-483-2509
Fax Number : 203-483-2513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 06/02/2026

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Directions to “ AMIRA ALI ABIHAIDAR DPM” Practice Location

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