Dr. Tamika Blackburn, MD
Internal Medicine in Wethersfield, Connecticut
1053593079- Practice location
- 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363
- Phone
- 860-563-9518
- Fax
- 860-257-0088
- Last updated
- October 14, 2019
Tamika Blackburn is an Internal Medicine based in Wethersfield, CT. Tamika Blackburn practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Tamika Blackburn is 1053593079 and holds a License No. 247841 (NY). The current practice location address for Tamika Blackburn is 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363 and can be reached out via phone at 860-563-9518 and via fax at 860-257-0088.
Provider Profile Details
- NPI Number
- 1053593079
- Provider Name
- Tamika Blackburn
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363
- Phone Number
- 860-563-9518
- Fax Number
- 860-257-0088
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2007
- Last Update Date
- October 14, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1260 Silas Deane Hwy Ste 103
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4363
- Phone Number
- 860-563-9518
- Fax Number
- 860-257-0088
Provider Business Mailing Address Details
- Address
- 1260 Silas Deane Hwy Ste 103
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4363
- Phone Number
- 860-563-9518
- Fax Number
- 860-257-0088
License Information
- License Number (1)
- 247841
- License State (1)
- NY
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 53376
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Wethersfield, CT
View all Internal Medicine providers in Wethersfield →- Anne Pinou, MDInternal Medicine · NPI 1891890216
- Askari H. Jafri, M.d., LLCInternal Medicine · NPI 1265039408
- Dr. Andrew B Schachter, MDInternal Medicine · NPI 1790798650
- Dr. Debra A Pachucki, MDInternal Medicine · NPI 1457484487
- Dr. Ellyssa L Eror, MDInternal Medicine · NPI 1477539922
- Dr. Emily P Stanford, DOInternal Medicine · NPI 1114190964
Frequently Asked Questions
What is the NPI number of Dr. Tamika Blackburn, MD?
The NPI number of Dr. Tamika Blackburn, MD is 1053593079. It was assigned on November 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Tamika Blackburn, MD?
Dr. Tamika Blackburn, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 247841.
Where does Dr. Tamika Blackburn, MD practice?
The practice location is 1260 Silas Deane Hwy Ste 103, Wethersfield, CT 06109-4363. The office can be reached at 860-563-9518 (phone) or 860-257-0088 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053593079 directly on the NPPES registry website.