| H And B Quality Medical Care Llc | |
|
2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 | |
| (860) 754-7407 | |
| Not Available |
| Full Name | H And B Quality Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Ivy Brook Rd Ste 120, Shelton, Connecticut |
| Authorized Official Name and Position | Nami Bayan (INTERNIST /DIRECTOR) |
| Authorized Official Contact | 8607547407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H And B Quality Medical Care Llc 2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 Ph: (860) 754-7407 | H And B Quality Medical Care Llc 2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 Ph: (860) 754-7407 |
| NPI Number | 1194165720 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/27/2013 |
| Medicare PECOS PAC ID | 4284862699 |
|---|---|
| Medicare Enrollment ID | O20140110000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194165720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 46181 (Connecticut) | Secondary |
| 207R00000X | Internal Medicine | 046285 (Connecticut) | Primary |
| Provider Name | Ladan Hamdheydari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184816761 PECOS PAC ID: 2163573080 Enrollment ID: I20090706000183 |
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