Tasneem Ahmad Khan, MD | |
1635 Central Avenue, Room 213 Southwest Ct Mental Health System, Bridgeport, CT 06610 | |
(203) 551-7660 | |
(203) 551-7481 |
Full Name | Tasneem Ahmad Khan |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 34 Years |
Location | 1635 Central Avenue, Bridgeport, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679650378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 034005 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
State Of Connecticut | 8022915677 | 115 |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Entity Name | State Of Connecticut |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720013360 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000785 |
Mailing Address | Practice Location Address |
---|---|
Tasneem Ahmad Khan, MD 1635 Central Avenue, Room 213 Southwest Ct Mental Health System, Bridgeport, CT 06610 Ph: (203) 551-7660 | Tasneem Ahmad Khan, MD 1635 Central Avenue, Room 213 Southwest Ct Mental Health System, Bridgeport, CT 06610 Ph: (203) 551-7660 |
Dr. Javier Lopez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Raj Kumari Bansal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 | |
Dr. Vanja Kondev, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 340 Capitol Ave, Bridgeport, CT 06606 Phone: 203-367-5589 Fax: 203-330-0838 | |
Dr. Reginald Anthony Hoffler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1106 North Ave, Bridgeport, CT 06604 Phone: 203-579-6131 Fax: 203-382-8464 | |
Dr. Anthony Louis Labruzza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 | |
Joy Reyes, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Dr. David Arthur Carlson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 |