| Dr Michael Sung Lee, MD | |
|
130 Division St, Derby, CT 06418-1326 | |
| (203) 732-1330 | |
| (203) 732-1332 |
| Full Name | Dr Michael Sung Lee |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 130 Division St, Derby, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730124793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 78282 (Connecticut) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 78282 (Connecticut) | Primary |
| Entity Name | The Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
| Entity Name | Innovative Medical Solutions Inc A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972624955 PECOS PAC ID: 5294783080 Enrollment ID: O20050107000871 |
| Entity Name | Cardiac Pet Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932675824 PECOS PAC ID: 6406199280 Enrollment ID: O20200708000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Sung Lee, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-1330 | Dr Michael Sung Lee, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-1330 |
Genevieve Cecile Kela, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327 | |
Dr. Gerald George Fette, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Banya Myo Win, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 230-735-7421 | |
Dr. Barbara Odac, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Howard Quentzel, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425 | |
Dr. Mukesh Kumar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Divya Mamootil, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 300 Seymour Ave Ste 202, Derby, CT 06418 Phone: 203-732-2651 Fax: 203-732-2654 |