| Dr Quazi T Islam, MD | |
|
515 Middle Tpke W, Manchester, CT 06040-3816 | |
| (860) 533-4176 | |
| Not Available |
| Full Name | Dr Quazi T Islam |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 515 Middle Tpke W, Manchester, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023111879 | NPI | - | NPPES |
| 236846 | Medicaid | NY | |
| 236846 | Other | NY | DOH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 236846 (New York) | Secondary |
| 207Q00000X | Family Medicine | 38371 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Physicians Pc | 1355246950 | 199 |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Quazi T Islam, MD 515 Middle Tpke W, Manchester, CT 06040-3816 Ph: (860) 533-4176 | Dr Quazi T Islam, MD 515 Middle Tpke W, Manchester, CT 06040-3816 Ph: (860) 533-4176 |
Dr. Stephanie J. Cartabiano, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 860-603-4163 | |
Dr. Barbara Louise Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 574 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-4334 Fax: 860-646-7020 | |
Dr. Eric David Sassu, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Hartford Rd, Manchester, CT 06040 Phone: 860-919-9861 | |
Gordon Brodie, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 E Center St, Manchester, CT 06040 Phone: 860-646-0166 Fax: 860-643-7574 | |
Dr. Sheenay Kendra Pryce, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4175 | |
Dr. Youlan Tang-kipers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 Main St, Manchester, CT 06040 Phone: 860-646-1000 Fax: 860-645-1120 |