| Sevi Health Ct Clover, Pc | |
|
764 Campbell Ave Ste E West Haven CT 06516-3786 | |
| (203) 685-1653 | |
| Not Available |
| Full Name | Sevi Health Ct Clover, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 764 Campbell Ave Ste E, West Haven, Connecticut |
| Authorized Official Name and Position | Piyush Gupta (OWNER) |
| Authorized Official Contact | 2036851653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sevi Health Ct Clover, Pc 470 James St Ste 7 New Haven CT 06513-3175 Ph: (203) 685-1653 | Sevi Health Ct Clover, Pc 764 Campbell Ave Ste E West Haven CT 06516-3786 Ph: (203) 685-1653 |
| NPI Number | 1578205530 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 9436537412 |
|---|---|
| Medicare Enrollment ID | O20220602002747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578205530 | NPI | - | NPPES |
| Provider Name | Piyush Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780945212 PECOS PAC ID: 6305063330 Enrollment ID: I20220308000796 |
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