Dr Shanaaz Shameen Mohammed, MD | |
320 Western Blvd Ste 104, Glastonbury, CT 06033-1276 | |
(860) 657-5940 | |
Not Available |
Full Name | Dr Shanaaz Shameen Mohammed |
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Gender | Female |
Speciality | Internal Medicine |
Location | 320 Western Blvd Ste 104, Glastonbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245426626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 51780 (Connecticut) | Primary |
Entity Name | Portage Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
Mailing Address | Practice Location Address |
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Dr Shanaaz Shameen Mohammed, MD P.o. Box 25272, Tamarac, FL 33320 Ph: () - | Dr Shanaaz Shameen Mohammed, MD 320 Western Blvd Ste 104, Glastonbury, CT 06033-1276 Ph: (860) 657-5940 |
Dr. Shishir Mathur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Sycamore St Ste 400, Glastonbury, CT 06033 Phone: 860-633-0500 Fax: 860-633-5250 | |
Ralph Peter Stocker, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 195 Eastern Blvd, # 201, Glastonbury, CT 06033 Phone: 860-246-4260 Fax: 860-430-9770 | |
Dr. Abhishek Kumar, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 628 Hebron Ave Ste 300, Glastonbury, CT 06033 Phone: 230-518-3004 | |
Dr. Kenneth Abriola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Hebron Ave Ste 113, Glastonbury, CT 06033 Phone: 860-657-0764 | |
Thomas Freund, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Sycamore St, Suite 400, Glastonbury, CT 06033 Phone: 860-633-0500 Fax: 860-633-5250 | |
William Preskenis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Sycamore St, Ste 100, Prime Healthcare, Glastonbury, CT 06033 Phone: 860-659-0581 Fax: 860-652-3077 | |
Anthony F Lasala, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 703 Hebron Ave, Glastonbury, CT 06033 Phone: 860-659-8830 Fax: 860-633-8529 |