| Alliance In Internal Medicine, Llc | |
|
139 Hazard Ave Ste 2 Enfield CT 06082-4585 | |
| (860) 253-0037 | |
| Not Available |
| Full Name | Alliance In Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 139 Hazard Ave Ste 2, Enfield, Connecticut |
| Authorized Official Name and Position | Surendra Khera (MD) |
| Authorized Official Contact | 8602530037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance In Internal Medicine, Llc 139 Hazard Ave Ste 2 Enfield CT 06082-4585 Ph: (860) 253-0037 | Alliance In Internal Medicine, Llc 139 Hazard Ave Ste 2 Enfield CT 06082-4585 Ph: (860) 253-0037 |
| NPI Number | 1174035844 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174035844 | NPI | - | NPPES |
| 001373422 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 037342 (Connecticut) | Primary |
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