H And B Quality Medical Care Llc | |
2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 | |
(860) 754-7407 | |
Not Available |
Full Name | H And B Quality Medical Care Llc |
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Speciality | Internal Medicine |
Location | 2 Ivy Brook Rd Ste 120, Shelton, Connecticut |
Authorized Official Name and Position | Nami Bayan (INTERNIST /DIRECTOR) |
Authorized Official Contact | 8607547407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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H And B Quality Medical Care Llc 2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 Ph: (860) 754-7407 | H And B Quality Medical Care Llc 2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 Ph: (860) 754-7407 |
NPI Number | 1194165720 |
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Provider Enumeration Date | 06/27/2013 |
Last Update Date | 06/27/2013 |
Medicare PECOS PAC ID | 4284862699 |
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Medicare Enrollment ID | O20140110000264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194165720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 046285 (Connecticut) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 46181 (Connecticut) | Secondary |
Provider Name | Ladan Hamdheydari |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184816761 PECOS PAC ID: 2163573080 Enrollment ID: I20090706000183 |
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