| Dr Maida Khan, | |
|
4a Devine St, North Haven, CT 06473-2142 | |
| (203) 843-9010 | |
| (203) 248-1435 |
| Full Name | Dr Maida Khan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 4a Devine St, North Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972165751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18470026 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maida Khan, 4a Devine St, North Haven, CT 06473-2142 Ph: (203) 843-9010 | Dr Maida Khan, 4a Devine St, North Haven, CT 06473-2142 Ph: (203) 843-9010 |
Dr. Vincent Dicola, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite #1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Dr. Georgia Ann Kelley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Broadway, North Haven, CT 06473 Phone: 203-234-1891 Fax: 203-234-2678 | |
Dr. Lorenzo Salvatore Galante, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Dianne Jean Defusco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Eric Grubman, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Parvati Singh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 8 Devine St, North Haven, CT 06473 Phone: 203-287-3550 | |
Dr. Steven Jacoby, M.D., F.A.C.C. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 |