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NPI Code Detail

MEDICARE: MEDICAL CARE CENTER OF EAST HARTFORD LLC

MEDICARE: MEDICAL CARE CENTER OF EAST HARTFORD 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
1208600000XSurgery Physician030076CT
2208D00000XGeneral Practice Physician030076CT
3363LF0000XFamily Nurse Practitioner
4207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24245029OTHERCTAETNA
3010030076CT01OTHERCTANTHEM
4P3788258OTHERCTOXFORD HEALTH PLANS

General Provider Information

NPI Number : 1275785214
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL CARE CENTER OF EAST HARTFORD LLC
Provider Business Mailing Address
First Line : 677 SILVER LN
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06118-1257
Country : US
Telephone Number : 860-569-7399
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 : 860-569-7399
Fax Number : 860-895-8107
Authorized Official
Title or Position : PHYSICIAN/ OWNER
Name : DR. SULTAN A QURAISHI
Credential : M.D.
Telephone Number : 860-569-7399
Provider Enumeration Date : 10/22/2008
Last Update Date : 06/23/2023

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.
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
Practice Phone: 860-568-7243
Practice Fax: 860-895-8107
1164456406 — SILVER LANE MEDICAL GROUP
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
Practice Phone: 860-568-7243
Practice Fax: 860-895-8107
1427140862 — DR. SAEED AHGHARI MD
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
Practice Phone: 860-568-7243
Practice Fax: 860-895-8107
1649428269 — MRS. RAHAT S HUSSAIN PA-C
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
Practice Phone: 860-568-7243
Practice Fax: 860-895-8107
1770916355 — MR. MUHAMMAD AFTAB ZUBAIRI APRN
Practice Location Address:
677 SILVER LN
EAST HARTFORD, CT
06118-1257
Practice Phone: 860-839-5018
Practice Fax: 860-895-8107

Directions to “MEDICAL CARE CENTER OF EAST HARTFORD LLC ” Practice Location

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