Amjad Panickaveettil Mohamed Basheer, MBBS is a student in an organized health care education training program in Farmington, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Amjad Panickaveettil Mohamed Basheer, MBBS NPI is 1255994901. 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:
UCONN HEALTH - GENERAL MEDICINE CLINIC
263 FARMINGTON AVE, OP 2 EAST
FARMINGTON, CT
ZIP 06030-021
Phone: (860) 679-4477
Fax: (860) 679-1025
The NPI 1255994901 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/18/2019 and was last updated on 7/29/2019.