MEDICARE: DR. NAEEM SARFRAZ M.D.

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	036856	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P971651	OTHER	CT	OXFORD PROVIDER ID NO.
2	3452002	OTHER	CT	AETNA PROVIDER ID NO.
3	010036856CT06	OTHER	CT	BCBS PROVIDER ID NO.
4	8473300004	OTHER	CT	CIGNA PROVIDER ID NO.
5	036856	OTHER	CT	CONNECTICARE PROVIDER ID
6	2V4501	OTHER	CT	HEALTHNET PROVIDER ID NO.
7	94S771	OTHER	CT	EMPIRE PROVIDER ID NO.

General Provider Information

NPI Number	:	1760427033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAEEM SARFRAZ M.D.

Provider Business Mailing Address
First Line	:	2000 POST RD
Second Line	:	SUITE 202
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-5730
Country	:	US
Telephone Number	:	203-254-9454
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 POST RD
Second Line	:	SUITE 202
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-5730
Country	:	US
Telephone Number	:	203-254-9454
Fax Number	:

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	07/08/2007

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