Provider Demographics
NPI:1124143003
Name:MASIH, NALINI Y (MD)
Entity type:Individual
Prefix:
First Name:NALINI
Middle Name:Y
Last Name:MASIH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ALEXANDER LN
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-2429
Mailing Address - Country:US
Mailing Address - Phone:860-466-6226
Mailing Address - Fax:
Practice Address - Street 1:DISABILITY DETERMINATION SERVICES
Practice Address - Street 2:309 WAWARME AVE
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114
Practice Address - Country:US
Practice Address - Phone:860-466-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45253207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology