Dr Prakash N Puranik, MD | |
546 S Broad St, Unit 2 E, Meriden, CT 06450-6600 | |
(203) 237-1054 | |
Not Available |
Full Name | Dr Prakash N Puranik |
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Gender | Male |
Speciality | Internal Medicine |
Location | 546 S Broad St, Meriden, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164489860 | NPI | - | NPPES |
001221555 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 022155 (Connecticut) | Primary |
Entity Name | Hartford Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Mailing Address | Practice Location Address |
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Dr Prakash N Puranik, MD 546 S Broad St, Unit 2 E, Meriden, CT 06450-6600 Ph: (203) 237-1054 | Dr Prakash N Puranik, MD 546 S Broad St, Unit 2 E, Meriden, CT 06450-6600 Ph: (203) 237-1054 |
Kevin Jo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Lewis Ave, Suite 106, Meriden, CT 06451 Phone: 203-886-0036 Fax: 203-886-0072 | |
Dr. Krzysztof Jakubowski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 244 Main St, Meriden, CT 06451 Phone: 203-630-9722 Fax: 203-630-9725 | |
Dr. Tatiana K Feld, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Suite 29, Meriden, CT 06450 Phone: 203-238-1125 Fax: 203-238-4452 | |
Gary Mark Cohen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 455 Lewis Ave, Suite 106, Meriden, CT 06451 Phone: 203-886-0036 Fax: 203-886-0072 | |
Ms. Sholeh Kamalian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Midstate Medical Center, Meriden, CT 06451 Phone: 203-284-1340 Fax: 203-265-4557 | |
Kimberly C. Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Medical Staff Office, Meriden, CT 06451 Phone: 203-694-8566 |