| Md Connect, Llc | |
|
9978 Brightwater Dr Fishers IN 46038-7149 | |
| (317) 809-7743 | |
| Not Available |
| Full Name | Md Connect, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9978 Brightwater Dr, Fishers, Indiana |
| Authorized Official Name and Position | Mohammad Sami Bakdash (OWNER) |
| Authorized Official Contact | 3178097743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Connect, Llc 9978 Brightwater Dr Fishers IN 46038-7149 Ph: () - | Md Connect, Llc 9978 Brightwater Dr Fishers IN 46038-7149 Ph: (317) 809-7743 |
| NPI Number | 1356163976 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Medicare PECOS PAC ID | 5496281073 |
|---|---|
| Medicare Enrollment ID | O20241205002832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356163976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad Sami Bakdash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104271790 PECOS PAC ID: 8628361037 Enrollment ID: I20190715000718 |
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