Medical Associates, Llc | |
22 Westfield Ave Ansonia CT 06401-1158 | |
(203) 888-9340 | |
(203) 888-9649 |
Full Name | Medical Associates, Llc |
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Speciality | Internal Medicine |
Location | 22 Westfield Ave, Ansonia, Connecticut |
Authorized Official Name and Position | Madhu Siddaveere Gowda (SINGLE MEMBER PROVIDER) |
Authorized Official Contact | 2038889340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates, Llc 63 Farm Hill Rd Orange CT 06477-2335 Ph: (203) 888-9340 | Medical Associates, Llc 22 Westfield Ave Ansonia CT 06401-1158 Ph: (203) 888-9340 |
NPI Number | 1578871703 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 07/01/2016 |
Medicare PECOS PAC ID | 8628260908 |
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Medicare Enrollment ID | O20101005000461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578871703 | NPI | - | NPPES |
001349895 | Medicaid | CT | |
110008027 | Other | MEDICARE PROVIDER NUMBER FOR MADHU GOWDA WHO IS A SINGLE MEMBER OF THIS LLC |
Provider Name | Madhu S Gowda |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1104856921 PECOS PAC ID: 9537351812 Enrollment ID: I20101005000490 |
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