Richi, Maysoun

Richi, Maysoun is an individual health care provider with primary practice located at 385 Main St S , Southbury CT 06488-4240. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Richi, Maysoun can be contacted via phone (203) 262-4600.

Contact Information

Primary practice address
385 Main St S Southbury CT 06488-4240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 046124 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46124 Connecticut

Profile Details

NPI number 1760620678
LBN Legal business name Richi, Maysoun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2009
Last updated Apr 6th, 2018 - about 6 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 1760620678 NPPES
Connecticut Other 46124 CONNECTICARE
Connecticut Other 9204302 CONNECTICARE
Connecticut Other 627769/528689 CONNECTICARE
Connecticut MEDICAID 008004181 CONNECTICARE
Connecticut Other 02014229 CONNECTICARE

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