| 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 | Piyush Gupta (PHYSICIAN) |
| Authorized Official Contact | 2039310034 |
| 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 | 04/03/2024 |
| Medicare PECOS PAC ID | 3476567892 |
|---|---|
| Medicare Enrollment ID | O20060206000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003005703 | NPI | - | NPPES |
| 001359844 | Medicaid | CT | |
| 008080626 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Secondary |
| Provider Name | Li Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346451234 PECOS PAC ID: 4880761618 Enrollment ID: I20080922000085 |
| Provider Name | Batya Levitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518395318 PECOS PAC ID: 5294961843 Enrollment ID: I20131204000541 |
| Provider Name | Tanviben Rangunwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184089872 PECOS PAC ID: 1052615317 Enrollment ID: I20160205001729 |
| 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 | 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 |
Campbell Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Campbell Ave, Suite 3, West Haven, CT 06516 Phone: 203-937-1100 Fax: 203-937-1102 | |
Family Physicians Of West Haven,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Campbell Ave, West Haven, CT 06516 Phone: 203-931-2828 Fax: 203-931-2830 | |
Qaiyum Mujtaba, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Savin Ave, West Haven, CT 06516 Phone: 203-931-7710 | |
Primary Care Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Front Ave, West Haven, CT 06516 Phone: 203-781-4600 Fax: 203-781-4624 | |
General Medical Practice Of West Haven Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Main St, West Haven, CT 06516 Phone: 203-933-4001 Fax: 203-933-3759 | |
Opioid Treatment Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, Buld# 36, Mail Code 116 A4, West Haven, CT 06516 Phone: 203-932-5711 Fax: 203-937-3478 |