MEDICARE: DOCTORS OF AVON MEDICAL GROUP, PC

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
1	207RC0000X	Cardiovascular Disease Physician	034848	CT
2	207RN0300X	Nephrology Physician	036636	CT
3	207R00000X	Internal Medicine Physician	015709	CT

General Provider Information

NPI Number	:	1194720391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS OF AVON MEDICAL GROUP, PC

Provider Business Mailing Address
First Line	:	30 W AVON RD
Second Line	:	LOWR LEVEL
City	:	AVON
State	:	CT
Zip	:	06001-3678
Country	:	US
Telephone Number	:	860-673-2581
Fax Number	:	860-675-6202

Provider Business Practice Location Address
First Line	:	30 W AVON RD
Second Line	:	LOWR LEVEL
City	:	AVON
State	:	CT
Zip	:	06001-3678
Country	:	US
Telephone Number	:	860-673-2581
Fax Number	:	860-675-6202

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SATESH CHANDRA SINGH
Credential	:	M.D.
Telephone Number	:	860-673-2581

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	09/11/2025

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