Organization
MEDICAL CARE CENTER OF CHESHIRE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSAM BAHGAT SHITIA M.D. (PRESIDENT)
(203) 271-3132
Entity
Organization
Contact information
Practice address
430 HIGHLAND AVE, CHESHIRE, CT 06410-2562
(203) 271-3132
(203) 271-3940
Mailing address
430 HIGHLAND AVE, CHESHIRE, CT 06410-2562
(203) 271-3132
(203) 271-3940
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
034996
CT
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
ME72340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010034996CT01
BLUE CROSS
CT
01
—
0V0544
HEALTHNET
CT
01
—
619002
AETNA
CT
01
—
718079
CONNECTICARE
CT
01
—
G29889
UNITED HEALTH CARE
CT
Enumeration date
09/21/2006
Last updated
08/22/2020
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