Healthcare Provider Details

I. General information

NPI: 1891949954
Provider Name (Legal Business Name): SAKENA ABEDIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2008
Last Update Date: 11/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 THORNTON ST
HAMDEN CT
06517-1336
US

IV. Provider business mailing address

127 THORNTON ST
HAMDEN CT
06517-1336
US

V. Phone/Fax

Practice location:
  • Phone: 203-288-0678
  • Fax: 203-230-0398
Mailing address:
  • Phone: 203-288-0678
  • Fax: 203-230-0398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number043699
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: