SUHRADAM MEDICAL PRACTICE, LLC


Address: 50 Toll Gate Rd, Berlin, CT 06037-3606
Phone: 8604386004

SUHRADAM MEDICAL PRACTICE, LLC (NPI# 1932560281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932560281
Entity Type Organization
Organization Name SUHRADAM MEDICAL PRACTICE, LLC
Practice Address 50 Toll Gate Rd
Berlin
CT 06037-3606
Practice Telephone 8604386004
Practice Fax Number 8607407103
Mailing Telephone 8604386004
Mailing Fax Number 8607407103
Enumeration Date 2016-03-15
Last Update Date 2016-03-15
Authorized Official Name BRIMAL BABUBHAI PATEL (CEO)
Authorized Official Telephone 8604386004
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
049253 CT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 1083879522 05

Office Location

Street Address 50 TOLL GATE RD
City BERLIN
State CT
Zip Code 06037-3606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316397755 Suhradam Medical Clinic/Center 50 Toll Gate Rd, Berlin, CT 06037-3606 2016-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417517418 Arthur E Roy Specialist/Technologist 95 Winchell Dr, Kensington, CT 06037 2019-06-20
1811483498 Michelle E Lipka Dietitian, Registered Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 2018-07-06
1659810539 Allison Arel Jerolmon Behavioral Analyst 68 Hart Street, Berlin, CT 06037 2017-02-13
1851738280 Michelle Amenta Speech-Language Pathologist 95 S Ridge Ln, Berlin, CT 06037 2013-05-24
1881939452 Martin Dacunha Social Worker 38 Smith St, Bldg 804, Niantic, CT 06037 2012-12-07
1194083667 Stanley Peter Filewicz Jr. Orthopaedic Surgery 1224 Farmington Ave., Unit A, Berlin, CT 06037 2012-05-02
1710269519 Marie Wallace Speech-Language Pathologist 077 Worthington Point Road, Berlin, CT 06037 2011-09-16
1164730032 Bozena Maria Padykula Nurse Practitioner 87 South Slope Drive, Kensington, CT 06037 2010-09-14
1326288655 Jill Foley Acupuncturist 355 New Britain Rd., Kensington, CT 06037 2009-02-26
1194985457 Bowers Health Care Facilities Inc Custodial Care Facility 316 Berlin Street, Berlin, CT 06037 2008-06-11
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1396287751 Integrative Md LLC Clinic/Center 47 Oak St Ste 110, Stamford, CT 06905-5320 2016-11-15
1538561832 Comprehensive Occupational Medical Associates of Connecticut P C Clinic/Center 201 Tresser Blvd Bldg Lobby, Stamford, CT 06901-3432 2014-09-18
1083214407 Neuropathy Treatment Center LLC Clinic/Center 132 Federal Rd Ste 103, Danbury, CT 06811-4047 2020-10-26
1114526688 Stravada Wellness Care LLC Clinic/Center 203 Broad St Unit C-4, Milford, CT 06460-4750 2020-10-25
1417475252 Community Econsult Network, Inc. Clinic/Center 631 Main St, Middletown, CT 06457-2762 2017-08-31
1659779452 Caring Hands Therapy Services LLC Clinic/Center 126 Carey Ave, Meriden, CT 06451-1907 2014-12-09
1992135396 Margo Ruth Gross LLC Clinic/Center 15 Poverty Hollow Rd, 27 Governors Street, Riddgefield, Ct 06877, Redding, CT 06896-3005 2013-11-21
1750635967 Complete In-home Therapy LLC Clinic/Center 430 Mansfield Rd, Ashford, CT 06278-1416 2012-11-09
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Competitor

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City BERLIN
Zip Code 06037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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