| Zadie Kenkare Internal Medicine Pllc | |
|
2 Samson Rock Dr Ste 1a Madison CT 06443-3005 | |
| (203) 421-2272 | |
| (203) 421-2395 |
| Full Name | Zadie Kenkare Internal Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Samson Rock Dr Ste 1a, Madison, Connecticut |
| Authorized Official Name and Position | Zadie Kenkare (OWNER) |
| Authorized Official Contact | 2034212272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zadie Kenkare Internal Medicine Pllc Po Box 604 Guilford CT 06437-0604 Ph: (203) 453-2795 | Zadie Kenkare Internal Medicine Pllc 2 Samson Rock Dr Ste 1a Madison CT 06443-3005 Ph: (203) 421-2272 |
| NPI Number | 1477206878 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 05/31/2022 |
| Medicare PECOS PAC ID | 7214324508 |
|---|---|
| Medicare Enrollment ID | O20220505001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477206878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Zadie N Kenkare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033281977 PECOS PAC ID: 1557541083 Enrollment ID: I20110215000818 |
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