Prime Care Medical Group P.C.

LBN: Prime Care Medical Group P.C.
Prime Care Medical Group P.C. is an health care organization with primary practice located at 2457 E Main St Ste 1E , Waterbury CT 06705-2684. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Prime Care Medical Group P.C. can be contacted via phone (203) 753-8477, or through Loganathan, Vidyapriya via phone (203) 753-8477.

Contact Information

Primary practice address
2457 E Main St Ste 1E Waterbury CT 06705-2684
Phone: (203) 753-8477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Loganathan, Vidyapriya Doctor of Medicine (MD)
Phone: (203) 753-8477

Health care specialties

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

Profile Details

NPI number 1407933286
LBN Legal business name Prime Care Medical Group P.C.
DBA Doing business as
Authorized official Loganathan, Vidyapriya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407933286 NPPES
Connecticut Other CG3286 RAIL ROAD MEDICARE

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