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NPI Code Detail

MEDICARE: SILVER LANE MEDICAL GROUP

MEDICARE: SILVER LANE MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician
2363LF0000XFamily Nurse Practitioner
3363LP2300XPrimary Care Nurse Practitioner
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1164456406
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER LANE MEDICAL GROUP
Provider Business Mailing Address
First Line : 677 SILVER LN
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06118-1257
Country : US
Telephone Number : 860-568-7243
Fax Number : 860-895-8107
Provider Business Practice Location Address
First Line : 677 SILVER LN
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06118-1257
Country : US
Telephone Number : 860-568-7243
Fax Number : 860-895-8107
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SULTAN QURAISHI
Credential : MD
Telephone Number : 860-568-7243
Provider Enumeration Date : 07/11/2006
Last Update Date : 08/25/2023

Similar Medicare Providers

1144200122 — SULTAN A QURAISHI MD
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
Practice Phone: 860-569-7399
Practice Fax: 860-895-8107
1164461091 — MISBAH M VAHIDY M.D.
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1427140862 — DR. SAEED AHGHARI MD
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677 SILVER LN
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Practice Fax: 860-895-8107
1649428269 — MRS. RAHAT S HUSSAIN PA-C
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
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Practice Fax: 860-895-8107
1275785214 — MEDICAL CARE CENTER OF EAST HARTFORD LLC
Practice Location Address:
677 SILVER LN
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1770916355 — MR. MUHAMMAD AFTAB ZUBAIRI APRN
Practice Location Address:
677 SILVER LN
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06118-1257
Practice Phone: 860-839-5018
Practice Fax: 860-895-8107

Directions to “SILVER LANE MEDICAL GROUP ” Practice Location

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