| Grand Medical Llc | |
|
515 Higgins Rd Cheshire CT 06410-3326 | |
| (914) 374-3468 | |
| Not Available |
| Full Name | Grand Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 Higgins Rd, Cheshire, Connecticut |
| Authorized Official Name and Position | Sameer Syed (PHYSICIAN - OWNER OF LLC) |
| Authorized Official Contact | 9143743468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Medical Llc 258 Grand Ave New Haven CT 06513-3723 Ph: (914) 374-3468 | Grand Medical Llc 515 Higgins Rd Cheshire CT 06410-3326 Ph: (914) 374-3468 |
| NPI Number | 1215321666 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 5597084483 |
|---|---|
| Medicare Enrollment ID | O20150427001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215321666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048491 (Connecticut) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 048491 (Connecticut) | Secondary |
| Provider Name | Sameer Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760647176 PECOS PAC ID: 3870639941 Enrollment ID: I20100924000050 |
| Provider Name | Zeba T Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801199203 PECOS PAC ID: 7618153412 Enrollment ID: I20110511000837 |
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