Samegulin, Igor

Samegulin, Igor is an individual health care provider with primary practice located at 74 Park Rd , West Hartford CT 06119-1853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Samegulin, Igor can be contacted via phone (860) 218-1725.

Contact Information

Primary practice address
74 Park Rd West Hartford CT 06119-1853
Phone: (860) 218-1725
Fax: (860) 218-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049234 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 49234 Connecticut

Profile Details

NPI number 1255517249
LBN Legal business name Samegulin, Igor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2008
Last updated May 3rd, 2017 - about 8 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 1255517249 NPPES
Connecticut MEDICAID 008023148

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