Suhradam Medical Practice, Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Berlin, Connecticut. The current practice location for Suhradam Medical Practice, Llc is 50 Toll Gate Rd, Berlin, Connecticut. For appointments, you can reach them via phone at
(860) 438-6004. The mailing address for Suhradam Medical Practice, Llc is 50 Toll Gate Rd, Berlin, Connecticut and phone number is (860) 438-6004.
Suhradam Medical Practice, Llc is licensed to practice in Connecticut (license number 049253). The clinic also participates in the medicare program and its
NPI number is 1932560281. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(860) 438-6004.
Primary Care Clinic Profile
| Full Name | Suhradam Medical Practice, Llc |
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| Speciality | Clinic/Center |
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| Location | 50 Toll Gate Rd, Berlin, Connecticut |
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| Authorized Official Name and Position | Brimal Babubhai Patel (CEO) |
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| Authorized Official Contact | 8604386004 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Suhradam Medical Practice, Llc
50 Toll Gate Rd
Berlin
CT 06037-3606
Ph: (860) 438-6004 | Suhradam Medical Practice, Llc
50 Toll Gate Rd
Berlin
CT 06037-3606
Ph: (860) 438-6004 |
NPI Details:
| NPI Number | 1932560281 |
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| Provider Enumeration Date | 03/15/2016 |
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| Last Update Date | 03/15/2016 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7618260498 |
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| Medicare Enrollment ID | O20160802000220 |
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Medical Identifiers
Medical identifiers for Suhradam Medical Practice, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932560281 | NPI | - | NPPES |
| 1083879522 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QM1300X | Clinic/center - Multi-specialty | 049253 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Suhradam Medical Practice, Llc acts as a billing entity for following providers:
| Provider Name | Brimal B Patel |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1083879522
PECOS PAC ID: 8426230467
Enrollment ID: I20110311000168 |
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