| Pourkavoos Medical Center, Llc | |
|
35 Nod Rd Suite 205 Avon CT 06001-3826 | |
| (860) 676-0090 | |
| (860) 676-0040 |
| Full Name | Pourkavoos Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 35 Nod Rd, Avon, Connecticut |
| Authorized Official Name and Position | Khosro Pourkavoos (OWNER) |
| Authorized Official Contact | 8606760090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pourkavoos Medical Center, Llc 35 Nod Rd Suite 205 Avon CT 06001-3826 Ph: (860) 676-0090 | Pourkavoos Medical Center, Llc 35 Nod Rd Suite 205 Avon CT 06001-3826 Ph: (860) 676-0090 |
| NPI Number | 1346543642 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346543642 | NPI | - | NPPES |
| 001397092 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 039709 (Connecticut) | Primary |
Avon Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Avon Rd, Lowr Level, Avon, CT 06001 Phone: 860-673-2581 Fax: 860-675-6202 | |
Natural Health And Healing, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 W Main St, Avon, CT 06001 Phone: 860-677-4600 Fax: 860-677-4660 | |
Dobrita Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46 W Avon Rd, Suite 301, Avon, CT 06001 Phone: 860-839-6333 | |
Jm Medical Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Westmont Rd, Avon, CT 06001 Phone: 860-550-1995 | |
Avon Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Avon Rd, Suite D, Avon, CT 06001 Phone: 860-675-6595 Fax: 860-673-6721 | |
Dartmouth Endocrinology, Diabetes And Metabolism, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 201, Avon, CT 06001 Phone: 860-679-0234 Fax: 860-606-0060 |