| Connecticut Neurological Specialist, Llc | |
|
455 Lewis Ave Suite 202 Meriden CT 06451-2121 | |
| (203) 630-1000 | |
| (203) 413-3333 |
| Full Name | Connecticut Neurological Specialist, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 455 Lewis Ave, Meriden, Connecticut |
| Authorized Official Name and Position | Hamid Sami (OWNER) |
| Authorized Official Contact | 2036301000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Neurological Specialist, Llc 455 Lewis Ave Ste 202 Meriden CT 06451-2121 Ph: (203) 630-1000 | Connecticut Neurological Specialist, Llc 455 Lewis Ave Suite 202 Meriden CT 06451-2121 Ph: (203) 630-1000 |
| NPI Number | 1750468963 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 1850390428 |
|---|---|
| Medicare Enrollment ID | O20061208000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750468963 | NPI | - | NPPES |
| 1470133 | Other | CT | AETNA |
| 042289 | Other | CT | CT STATE LICENSE |
| 301000 | Other | CT | WELLCARE |
| 042289 | Other | CT | CONNECTICARE |
| 1750468963 | Other | CT | MEDICARE |
| 2V6461 | Other | CT | HEALTHNET |
| 5488264 | Other | CT | CIGNA |
| P3721896 | Other | CT | OXFORD |
| 010042289CT04 | Other | CT | ANTHEM BC BS |
| Provider Name | Hamid R Sami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750327482 PECOS PAC ID: 6608806831 Enrollment ID: I20050817000878 |
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