| Dr Golam Rosul Gazi, MD | |
|
350 Silas Deane Hwy, Wethersfield, CT 06109-1700 | |
| (860) 529-8670 | |
| (860) 529-8790 |
| Full Name | Dr Golam Rosul Gazi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 350 Silas Deane Hwy, Wethersfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427076330 | NPI | - | NPPES |
| OV7812 | Other | CT | HEALTHNET |
| 001174796 | Other | CT | UNITED HEALTHCARE |
| 054027 | Other | CT | CONNECTICARE |
| 010017479CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 001174796 | Medicaid | CT | |
| 4227408 | Other | CT | AETNA |
| P1933998 | Other | CT | OXFORD |
| 2379856 | Other | CT | AETNA US HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 17479 (Connecticut) | Primary |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Prime Healthcare, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Golam Rosul Gazi, MD 350 Silas Deane Hwy, Wethersfield, CT 06109-1700 Ph: (860) 529-8670 | Dr Golam Rosul Gazi, MD 350 Silas Deane Hwy, Wethersfield, CT 06109-1700 Ph: (860) 529-8670 |
Dr. Thomas Andrew Brown, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 672 Silas Deane Hwy, Kathy's Urgent Care Of Wethersfield, Wethersfield, CT 06109 Phone: 860-967-3600 Fax: 860-967-3610 | |
Dr. Tamika Blackburn, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109 Phone: 860-563-9518 Fax: 860-257-0088 | |
Dr. Kenda Alkwatli, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-547-1278 Fax: 860-547-1301 | |
Robert Reginio, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 30 Jordan Ln, Wethersfield, CT 06109 Phone: 860-263-0263 Fax: 860-263-0267 | |
Komsu F Mamuya, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477 Fax: 860-571-6802 | |
Maria Renna, MD, PHD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Jordan Ln, Wethersfield, CT 06109 Phone: 860-263-0263 Fax: 860-263-0267 | |
Fred Rubin, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477 Fax: 860-571-6802 |