Memon, Mohammed A

Memon, Mohammed A is an individual health care provider with primary practice located at 415 Silas Deane Hwy Suite #210, Wethersfield CT 06109-2124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Memon, Mohammed A can be contacted via phone (860) 436-9880.

Contact Information

Primary practice address
415 Silas Deane Hwy Suite #210 Wethersfield CT 06109-2124
Phone: (860) 436-9880
Fax: (860) 436-9850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042588 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042588 Connecticut

Profile Details

NPI number 1609826668
LBN Legal business name Memon, Mohammed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 27th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609826668 NPPES
Other P3623891 OXFORD
MEDICAID 001425885 OXFORD
Other 042588 OXFORD
Other 3722953 OXFORD
Other 4637105 OXFORD
Other 36663 OXFORD
Other 010042588CT01 OXFORD
Other 00142588500 OXFORD
Other 2V7183 OXFORD

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