| Internal Medicine Of West Haven Llc | |
|
764 Campbell Ave Suite E West Haven CT 06516-3786 | |
| (203) 931-0034 | |
| (203) 931-8225 |
| Full Name | Internal Medicine Of West Haven Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 764 Campbell Ave, West Haven, Connecticut |
| Authorized Official Name and Position | Marizelle Flores (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8609444766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of West Haven Llc 764 Campbell Ave West Haven CT 06516-3786 Ph: (203) 931-0034 | Internal Medicine Of West Haven Llc 764 Campbell Ave Suite E West Haven CT 06516-3786 Ph: (203) 931-0034 |
| NPI Number | 1003005703 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 3476567892 |
|---|---|
| Medicare Enrollment ID | O20060206000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003005703 | NPI | - | NPPES |
| 008080626 | Medicaid | CT | |
| 001359844 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Li Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346451234 PECOS PAC ID: 4880761618 Enrollment ID: I20080922000085 |
| Provider Name | Batya Beth Levitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518395318 PECOS PAC ID: 5294961843 Enrollment ID: I20131204000541 |
| Provider Name | Samantha N Nesbeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437694726 PECOS PAC ID: 6901172022 Enrollment ID: I20171017003364 |
| Provider Name | Rashidat Olayokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194353961 PECOS PAC ID: 0840614954 Enrollment ID: I20200722002397 |
| Provider Name | Ryan Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027403 PECOS PAC ID: 5496173338 Enrollment ID: I20200909002958 |
| Provider Name | Laura Marie Michelle Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487276465 PECOS PAC ID: 9234557620 Enrollment ID: I20200917000237 |
| Provider Name | Parnian Kiamanesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598052946 PECOS PAC ID: 2264746676 Enrollment ID: I20210318000370 |
| Provider Name | Piyush Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780945212 PECOS PAC ID: 6305063330 Enrollment ID: I20220308000796 |
| Provider Name | Ingrid S Coello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982320925 PECOS PAC ID: 2365815370 Enrollment ID: I20230222000666 |
| Provider Name | Vanessa T Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952792988 PECOS PAC ID: 2264750280 Enrollment ID: I20230420001747 |
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