| Medical Care Center Of Cheshire,inc | |
|
430 Highland Ave Cheshire CT 06410-2562 | |
| (203) 271-3132 | |
| (203) 271-3940 |
| Full Name | Medical Care Center Of Cheshire,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 430 Highland Ave, Cheshire, Connecticut |
| Authorized Official Name and Position | Husam Bahgat Shitia (PRESIDENT) |
| Authorized Official Contact | 2032713132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Center Of Cheshire,inc 430 Highland Ave Cheshire CT 06410-2562 Ph: (203) 271-3132 | Medical Care Center Of Cheshire,inc 430 Highland Ave Cheshire CT 06410-2562 Ph: (203) 271-3132 |
| NPI Number | 1881793511 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426243668 |
|---|---|
| Medicare Enrollment ID | O20101112000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881793511 | NPI | - | NPPES |
| 718079 | Other | CT | CONNECTICARE |
| G29889 | Other | CT | UNITED HEALTH CARE |
| 619002 | Other | CT | AETNA |
| 0V0544 | Other | CT | HEALTHNET |
| 010034996CT01 | Other | CT | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 034996 (Connecticut) | Primary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | ME72340 (Florida) | Secondary |
| Provider Name | Husam Bahgat Shitia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972604528 PECOS PAC ID: 9335334572 Enrollment ID: I20101112000679 |
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