Moazzem Hossain Khan, MD | |
Haviland Hall, 12 Joyce Drive, Middletown, CT 06457-6407 | |
(860) 262-7026 | |
(860) 262-6525 |
Full Name | Moazzem Hossain Khan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | Haviland Hall, Middletown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740430545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 67320 (Connecticut) | Secondary |
207R00000X | Internal Medicine | 4933 (Alaska) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245256247 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000535 |
Mailing Address | Practice Location Address |
---|---|
Moazzem Hossain Khan, MD Haviland Hall, 12 Joyce Drive, Middletown, CT 06457-1886 Ph: (347) 446-9114 | Moazzem Hossain Khan, MD Haviland Hall, 12 Joyce Drive, Middletown, CT 06457-6407 Ph: (860) 262-7026 |
Dr. Miklos C. Fogarasi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 536 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-2220 Fax: 860-358-2222 | |
George Agyapong, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-262-5128 | |
Lisa Ochola-tinker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-5322 Fax: 860-358-6298 | |
Dr. James Kar-kee Yue, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245 | |
Mario Q Ricci Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Saybrook Rd, Suite 201, Middletown, CT 06457 Phone: 860-347-4620 Fax: 860-346-9687 | |
Dr. Crispin Reynaldo Abarientos, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6878 Fax: 860-358-6870 | |
Stephen M Franklin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Saybrook Rd, Middlesex Cardiology Associates, Middletown, CT 06457 Phone: 860-347-4258 Fax: 860-704-5924 |