| Prime Healthcare Of Southport,llc | |
|
2000 Post Rd Suite #202 Fairfield CT 06824-5730 | |
| (203) 254-9454 | |
| (203) 254-0152 |
| Full Name | Prime Healthcare Of Southport,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Post Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Naeem Sarfraz (OWNER) |
| Authorized Official Contact | 2032549454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Of Southport,llc 2000 Post Rd Suite #202 Fairfield CT 06824-5730 Ph: (203) 254-9454 | Prime Healthcare Of Southport,llc 2000 Post Rd Suite #202 Fairfield CT 06824-5730 Ph: (203) 254-9454 |
| NPI Number | 1194937581 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426089533 |
|---|---|
| Medicare Enrollment ID | O20050829000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194937581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036856 (Connecticut) | Primary |
| Provider Name | Naeem Sarfraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760427033 PECOS PAC ID: 4284527474 Enrollment ID: I20040203000328 |
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