MEDICARE: LINDACARE INC.

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1922527050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDACARE INC.

Provider Business Mailing Address
First Line	:	20 CHURCH ST STE 1780
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06103-1246
Country	:	US
Telephone Number	:	973-997-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 CANAL ST STE 2
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-5921
Country	:	US
Telephone Number	:	203-429-9891
Fax Number	:	877-518-3581

Authorized Official
Title or Position	:	CEO
Name	:	SHAHRAM SHARIF
Credential	:
Telephone Number	:	415-230-9188

Provider Enumeration Date	:	09/09/2017
Last Update Date	:	07/21/2022

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Directions to “LINDACARE INC. ” Practice Location

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