Islam, Quazi T
Islam, Quazi T is an individual health care provider with primary practice located at 515 Middle Tpke W , Manchester CT 06040-3816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Islam, Quazi T can be contacted via phone (860) 533-4176.Contact Information
Primary practice address
515 Middle Tpke W
Manchester CT 06040-3816
Phone: (860) 533-4176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 236846 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38371 | Connecticut |
Profile Details
| NPI number | 1023111879 |
|---|---|
| LBN Legal business name | Islam, Quazi T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023111879 | NPPES |
| New York | MEDICAID | 236846 | |
| New York | Other | 236846 |
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