| Sevi Cares Ct Pllc | |
|
764 Campbell Ave Ste E West Haven CT 06516-3786 | |
| (203) 931-0034 | |
| Not Available |
| Full Name | Sevi Cares Ct Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 764 Campbell Ave Ste E, 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 |
|---|---|
| Sevi Cares Ct Pllc 764 Campbell Ave Ste E West Haven CT 06516-3786 Ph: (203) 931-0034 | Sevi Cares Ct Pllc 764 Campbell Ave Ste E West Haven CT 06516-3786 Ph: (203) 931-0034 |
| NPI Number | 1679274039 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 02/11/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 2668837188 |
|---|---|
| Medicare Enrollment ID | O20231031003503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679274039 | NPI | - | NPPES |
| Provider Name | Li Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346451234 PECOS PAC ID: 4880761618 Enrollment ID: I20080922000085 |
| Provider Name | Ryan Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027403 PECOS PAC ID: 5496173338 Enrollment ID: I20200909002958 |
| 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 |
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