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40 E Putnam Ave Ste 1b Cos Cob CT 06807-2606 | |
| (203) 489-5442 | |
| (203) 325-3270 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 E Putnam Ave Ste 1b, Cos Cob, Connecticut |
| Authorized Official Name and Position | Joshan K Shajan (MANAGER) |
| Authorized Official Contact | 2033252120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
212 Bible St Cos Cob CT 06807-1322 Ph: (646) 652-1791 | 40 E Putnam Ave Ste 1b Cos Cob CT 06807-2606 Ph: (203) 489-5442 |
| NPI Number | 1962997940 |
|---|---|
| Provider Enumeration Date | 06/22/2018 |
| Last Update Date | 05/14/2023 |
| Medicare PECOS PAC ID | 1759617244 |
|---|---|
| Medicare Enrollment ID | O20190722001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962997940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Moha Kulkarni Ahuja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255587218 PECOS PAC ID: 9133349616 Enrollment ID: I20141006000055 |
| Provider Name | Joshan K Shajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790043040 PECOS PAC ID: 9638497571 Enrollment ID: I20150406001079 |
| Provider Name | Viet Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073193975 PECOS PAC ID: 0143679415 Enrollment ID: I20231212001830 |
Greenwich Integrative Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 River Rd, Cos Cob, CT 06807 Phone: 203-863-3615 | |
Walsh-brunetti Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 River Rd, Suite 200, Cos Cob, CT 06807 Phone: 203-661-9433 Fax: 203-661-2918 | |
Francis X Walsh Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31 River Rd Ste 200, Cos Cob, CT 06807 Phone: 203-661-9433 |