MEDICARE: A-ONE DIRECT PRIMARY CARE, 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1255290953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-ONE DIRECT PRIMARY CARE, PC

Provider Business Mailing Address
First Line	:	8 QUAIL HOLLOW LN
Second Line	:
City	:	SANDY HOOK
State	:	CT
Zip	:	06482-1284
Country	:	US
Telephone Number	:	203-733-4046
Fax Number	:	203-514-2659

Provider Business Practice Location Address
First Line	:	73 SAND PIT RD STE 204
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-4015
Country	:	US
Telephone Number	:	203-514-2639
Fax Number	:	203-514-2659

Authorized Official
Title or Position	:	OWNER
Name	:	DR. IFTIKHAR ALI
Credential	:	MD
Telephone Number	:	203-733-4046

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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