Most Relevant Information
Provider Data
| NPI Number: | 1003490632 |
| Provider Name: | VESAL YAGHOOBI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2021 |
| Last Updated: | 05/10/2021 |
Provider Practice Location
80 SEYMOUR ST
HARTFORD
CT
061028000
Practice Location Phone/Fax
| Phone: | 8609726113 |
| Fax: |
Provider Mailing Location
80 SEYMOUR ST
HARTFORD
CT
061028000
Provider Mailing Phone/Fax
| Phone: | 8609726113 |
| Fax: |