PREFERRED MDCARE LLC NPI 1003004847

NPI Information

  • NPI: 1003004847
  • Provider Name: PREFERRED MDCARE, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 180 TURN OF RIVER RD
    SUITE 8C
    STAMFORD, CT
    ZIP 06905
  • Phone: (203) 820-7224
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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 6/30/2024

NPI Synchronization or Removal

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