| Dr Prakash N Puranik, MD | |
|
546 S Broad St, Unit 2 E, Meriden, CT 06450-6600 | |
| (203) 237-1054 | |
| Not Available |
| Full Name | Dr Prakash N Puranik |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 546 S Broad St, Meriden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164489860 | NPI | - | NPPES |
| 001221555 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022155 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prakash N Puranik, MD 546 S Broad St, Unit 2 E, Meriden, CT 06450-6600 Ph: (203) 237-1054 | Dr Prakash N Puranik, MD 546 S Broad St, Unit 2 E, Meriden, CT 06450-6600 Ph: (203) 237-1054 |
Kevin Jo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Lewis Ave, Suite 106, Meriden, CT 06451 Phone: 203-886-0036 Fax: 203-886-0072 | |
Dr. Krzysztof Jakubowski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 244 Main St, Meriden, CT 06451 Phone: 203-630-9722 Fax: 203-630-9725 | |
Dr. Tatiana K Feld, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Suite 29, Meriden, CT 06450 Phone: 203-238-1125 Fax: 203-238-4452 | |
Gary Mark Cohen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 455 Lewis Ave, Suite 106, Meriden, CT 06451 Phone: 203-886-0036 Fax: 203-886-0072 | |
Ms. Sholeh Kamalian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Midstate Medical Center, Meriden, CT 06451 Phone: 203-284-1340 Fax: 203-265-4557 | |
Kimberly C. Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Lewis Ave, Medical Staff Office, Meriden, CT 06451 Phone: 203-694-8566 |