MEDICARE: MARAM KHALIFA

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	061410	CT
2	207R00000X	Internal Medicine Physician	61410	CT

General Provider Information

NPI Number	:	1528441169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARAM KHALIFA

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8082
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	263 FARMINGTON AVENUE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8025
Country	:	US
Telephone Number	:	860-679-4225
Fax Number	:	860-679-1217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	07/30/2025

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Directions to “ MARAM KHALIFA ” Practice Location

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