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General NPI Number Information
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NPI Number | 1174055420
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Entity Type | Individual
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Provider Name | SARAH HAFEEZ ILAHI D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1527 ROUTE 12
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City | GALES FERRY
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State | CT
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Zip | 06335-1800
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Country | US
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Telephone | 860-464-7724
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Fax | 860-464-0125
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MB10875600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 80604
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License Number State | CT
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