| Naseem B. Razavi, Md Llc | |
|
36 Russ St Fl 3 Ste 738 Hartford CT 06106-1520 | |
| (301) 785-2099 | |
| Not Available |
| Full Name | Naseem B. Razavi, Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 36 Russ St Fl 3, Hartford, Connecticut |
| Authorized Official Name and Position | Naseem B Razavi (PHYSICIAN) |
| Authorized Official Contact | 8603109549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naseem B. Razavi, Md Llc 36 Russ St Fl 3 Ste 738 Hartford CT 06106-1520 Ph: (860) 310-9549 | Naseem B. Razavi, Md Llc 36 Russ St Fl 3 Ste 738 Hartford CT 06106-1520 Ph: (301) 785-2099 |
| NPI Number | 1831940212 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 1658712385 |
|---|---|
| Medicare Enrollment ID | O20240513003221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831940212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Naseem Razavi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386913465 PECOS PAC ID: 5698051308 Enrollment ID: I20240513003316 |
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