Healthcare Provider Details
I. General information
NPI: 1023466406
Provider Name (Legal Business Name): ERVIS XHIHANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/26/2016
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
761 MAIN AVE STE 201A
NORWALK CT
06851-1080
US
IV. Provider business mailing address
761 MAIN AVE STE 201A
NORWALK CT
06851-1080
US
V. Phone/Fax
- Phone: 203-853-5000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 80552 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: