| 4 Elements Direct Primary Care Llc | |
|
1199 Sullivan Ave Ste A South Windsor CT 06074-2013 | |
| (860) 469-5646 | |
| (860) 310-1122 |
| Full Name | 4 Elements Direct Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1199 Sullivan Ave Ste A, South Windsor, Connecticut |
| Authorized Official Name and Position | Vasanth Kainkaryam (MANAGING MEMBER) |
| Authorized Official Contact | 8604695656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Elements Direct Primary Care Llc 1199 Sullivan Ave Ste A South Windsor CT 06074-2013 Ph: (860) 469-5646 | 4 Elements Direct Primary Care Llc 1199 Sullivan Ave Ste A South Windsor CT 06074-2013 Ph: (860) 469-5646 |
| NPI Number | 1730756636 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730756636 | NPI | - | NPPES |
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