DR. FAWAD HAMEEDI M.D. NPI 1124318068

NPI Information

NPI: 1124318068
Provider Name: DR. FAWAD HAMEEDI, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
79 WASHINGTON AVE
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 456-8000
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DR. Fawad Hameedi, M.D. is a general practice in North Haven, CT. DR. Fawad Hameedi, M.D. NPI is 1124318068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

79 WASHINGTON AVE
NORTH HAVEN, CT
ZIP 06473-704
Phone: (203) 456-8000

The enumeration date for this NPI number is 4/12/2011 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		53890	CONNECTICUT	No
2	208D00000X	General Practice		53890	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008073005	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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