| Pranav Kapoor, MD | |
|
399 Farmington Ave Ste 270, Farmington, CT 06032-1979 | |
| (860) 863-4800 | |
| (860) 499-5476 |
| Full Name | Pranav Kapoor |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 399 Farmington Ave Ste 270, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972868198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 55546 (Connecticut) | Primary |
| 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 |
|---|---|
| Pranav Kapoor, MD 1201 2nd Ave, Ste 1400, Seattle, WA 98101 Ph: (206) 395-7870 | Pranav Kapoor, MD 399 Farmington Ave Ste 270, Farmington, CT 06032-1979 Ph: (860) 863-4800 |
Carson Wright, PHYSCIAN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Munson Rd University Of Connecticut, Correctional Managed Health Care, Farmington, CT 06030 Phone: 860-763-6588 | |
Marc S Croteau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Uconn/occupational Medicine Associates, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587 | |
Dr. Demetra Eleftheriou, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Farm Glen Blvd, Farmington, CT 06032 Phone: 860-284-5266 Fax: 860-409-4077 | |
Montgomery Bernard Douglas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-4474 | |
Dr. Hyoungsup Park, M.D., PHD Family Medicine Medicare: Medicare Enrolled Practice Location: 599 Famington Ave, Farmington, CT 06032 Phone: 608-284-4945 Fax: 860-284-4946 | |
Dr. Timothy Stephen Lishnak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770 | |
Wahila Alam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770 |