Healthcare Provider Details

I. General information

NPI: 1679915110
Provider Name (Legal Business Name): ALI ABBAS RASHID MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 PARK ST
NEW HAVEN CT
06519-1109
US

IV. Provider business mailing address

184 LIBERTY ST
NEW HAVEN CT
06519-1625
US

V. Phone/Fax

Practice location:
  • Phone: 203-974-7300
  • Fax: 203-974-7322
Mailing address:
  • Phone: 203-909-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number56722
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number56722
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: