Individual
DR. MOHAMMED A MEMON
Active
Individual
DR. MOHAMMED A MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042588
CT
207R00000X
Internal Medicine Physician
Primary
042588
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425885
—
CT
01
—
00142588500
BLUE CARE FAMILY PLAN
CT
01
—
010042588CT01
ANTHEM BLUE CROSS
—
01
—
042588
CONNECTICARE
—
01
—
2V7183
HEALTH NET
—
01
—
36663
HEALTH NEW ENGLAND
—
01
—
3722953
AETNA
—
01
—
4637105
CIGNA
—
01
—
P3623891
OXFORD
—
Enumeration date
05/11/2006
Last updated
08/27/2014
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