Mcleod, Gavin X
Mcleod, Gavin X is an individual health care provider with primary practice located at 166 W Broad St Ste 202, Stamford CT 06902-3661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mcleod, Gavin X can be contacted via phone (203) 353-1427.Contact Information
Primary practice address
166 W Broad St Ste 202
Stamford CT 06902-3661
Phone: (203) 353-1427
Fax: (203) 276-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 033027 | Connecticut |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 033027 | Connecticut |
Profile Details
| NPI number | 1386616662 |
|---|---|
| LBN Legal business name | Mcleod, Gavin X |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | May 8th, 2024 - about last year |
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 | 1386616662 | NPPES |
| Connecticut | MEDICAID | 001330274 |
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