MEDICARE: PRIMECARE MEDICAL LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326906660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMECARE MEDICAL LLC

Provider Business Mailing Address
First Line	:	303 WEED AVE
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-5409
Country	:	US
Telephone Number	:	475-619-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 WEED AVE
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-5409
Country	:	US
Telephone Number	:	475-619-9040
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FAYYAZ ULLAH
Credential	:
Telephone Number	:	475-619-9040

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “PRIMECARE MEDICAL LLC ” Practice Location

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