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PREFERRED MDCARE LLC NPI 1003004847


NPI Profile

NPI: 1003004847
Provider Name: PREFERRED MDCARE, LLC
Classification:Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
180 TURN OF RIVER RD
SUITE 8C
STAMFORD, CT
ZIP 06905
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Phone: (203) 820-7224

PREFERRED MDCARE, LLC is a primary care clinic center in Stamford, CT. PREFERRED MDCARE, LLC NPI is 1003004847. The provider is registered as an organization entity type.

The provider's business location address is:

180 TURN OF RIVER RD
SUITE 8C
STAMFORD, CT
ZIP 06905-396
Phone: (203) 820-7224
Fax: (203) 355-9808

The provider's authorized official is Vijay V Desai .
The authorized official title is Owner and has the following contact phone number (203) 820-7224.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/2/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03412MEDICARE PINCONNECTICUT

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: 5/9/2021

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.