| Mr Ali Habeeb, MD | |
|
365 Montauk Ave, New London, CT 06320-4700 | |
| (856) 686-4395 | |
| Not Available |
| Full Name | Mr Ali Habeeb |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 365 Montauk Ave, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528414653 | NPI | - | NPPES |
| 1528414653 | Medicaid | RI | |
| 1528414653 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 408864 (Connecticut) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 70181 (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 |
| Entity Name | Hospital Medicine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ali Habeeb, MD 99 Hawley Ln Fl 3, Stratford, CT 06614-1202 Ph: () - | Mr Ali Habeeb, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (856) 686-4395 |
Yardley Brice, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Syeda Kanza Afzal, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Dr. Pradnya Velankar, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Mical S Campbell, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Coastal Digestive Diseases, 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136 | |
Suzanne J Klekotka, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 155 Montauk Ave, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153 | |
Dr. John Edward Madsen, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136 | |
Robert J Keltner, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 155 Montauk Avenue, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153 |