| Star Medical Care, Pllc | |
|
2560 Dixwell Ave Ste 1a Hamden CT 06514-1852 | |
| (203) 691-7401 | |
| (203) 935-8955 |
| Full Name | Star Medical Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2560 Dixwell Ave Ste 1a, Hamden, Connecticut |
| Authorized Official Name and Position | Hafsa M Nawaz (OWNER) |
| Authorized Official Contact | 2036917401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Medical Care, Pllc Po Box 1451 Guilford CT 06437-0551 Ph: (203) 691-7401 | Star Medical Care, Pllc 2560 Dixwell Ave Ste 1a Hamden CT 06514-1852 Ph: (203) 691-7401 |
| NPI Number | 1568961274 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/14/2020 |
| Medicare PECOS PAC ID | 1557624673 |
|---|---|
| Medicare Enrollment ID | O20180424000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568961274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Hafsa M Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306804463 PECOS PAC ID: 6002829090 Enrollment ID: I20060714000203 |
| Provider Name | Kathrine Ann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497227854 PECOS PAC ID: 7719225473 Enrollment ID: I20190205002974 |
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