BLUEGRASS MEDICINE & NEPHROLOGY LLC NPI 1962654178

NPI Information

  • NPI: 1962654178
  • Provider Name: BLUEGRASS MEDICINE & NEPHROLOGY, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 455 LEWIS AVE
    SUITE 214
    MERIDEN, CT
    ZIP 06451
  • Phone: (203) 237-6700

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NPI Details

BLUEGRASS MEDICINE & NEPHROLOGY, LLC is a medical specialty clinic center in Meriden, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BLUEGRASS MEDICINE & NEPHROLOGY, LLC NPI is 1962654178. The provider is registered as an organization entity type.

The provider's business location address is:

455 LEWIS AVE
SUITE 214
MERIDEN, CT
ZIP 06451-121
Phone: (203) 237-6700

The provider's authorized official is Irfan Saeed Chughtai .
The authorized official title is Sole Proprietor and has the following contact phone number (203) 237-6700.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 6/29/2009.

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
1261QM2500XClinic/CenterMedical Specialty039668CONNECTICUTYes

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
1H72331MEDICARE UPIN

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: 11/21/2025

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