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ZADIE KENKARE INTERNAL MEDICINE PLLC NPI 1477206878


NPI Information

NPI: 1477206878
Provider Name: ZADIE KENKARE INTERNAL MEDICINE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 07D2261771

Address:
2 SAMSON ROCK DR STE 1A
MADISON, CT
ZIP 06443
Phone: (203) 421-2272
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ZADIE KENKARE INTERNAL MEDICINE PLLC is a primary care clinic center in Madison, CT. ZADIE KENKARE INTERNAL MEDICINE PLLC NPI is 1477206878. The provider is registered as an organization entity type.

The provider's business location address is:

2 SAMSON ROCK DR STE 1A
MADISON, CT
ZIP 06443-005
Phone: (203) 421-2272
Fax: (203) 421-2395

The provider's authorized official is Zadie Kenkare .
The authorized official title is Owner and has the following contact phone number (203) 421-2272.

The CLIA number assigned to this NPI record is 07D2261771 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2022 and was last updated on 5/31/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.