M Ehsan Qadir Md Llc | |
22 Westfield Ave Suite 1 Ansonia CT 06401-1158 | |
(203) 732-1677 | |
(203) 732-1680 |
Full Name | M Ehsan Qadir Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 22 Westfield Ave, Ansonia, Connecticut |
Authorized Official Name and Position | Jan Tylinski (OFFICE MANAGER) |
Authorized Official Contact | 2037321677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
M Ehsan Qadir Md Llc 22 Westfield Ave Suite 1 Ansonia CT 06401-1158 Ph: (203) 732-1677 | M Ehsan Qadir Md Llc 22 Westfield Ave Suite 1 Ansonia CT 06401-1158 Ph: (203) 732-1677 |
NPI Number | 1154573657 |
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Provider Enumeration Date | 10/15/2008 |
Last Update Date | 10/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154573657 | NPI | - | NPPES |
001251644 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 025164 (Connecticut) | Primary |
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