| Ihpc Health | |
|
11 High St Farmington CT 06032-2314 | |
| (860) 424-2450 | |
| Not Available |
| Full Name | Ihpc Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 High St, Farmington, Connecticut |
| Authorized Official Name and Position | J Kevin Shushtari (OWNER) |
| Authorized Official Contact | 8609177344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihpc Health 11 High St Farmington CT 06032-2314 Ph: (860) 424-2450 | Ihpc Health 11 High St Farmington CT 06032-2314 Ph: (860) 424-2450 |
| NPI Number | 1104535525 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 8022488667 |
|---|---|
| Medicare Enrollment ID | O20221223000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104535525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | J. Kevin Shushtari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417923160 PECOS PAC ID: 1153221015 Enrollment ID: I20040109000313 |
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