Active NPIIndividual providerSole proprietor

Maryam Iftikhar

Physician Assistant in Wethersfield, Connecticut

NPI Number1215490891
Practice location
672 Silas Deane Hwy, Wethersfield, CT 06109-3053
Fax
—
Last updated
April 10, 2019

Maryam Iftikhar is a Physician Assistant based in Wethersfield, CT. Maryam Iftikhar practices in Wethersfield, CT. The NPI Number for Maryam Iftikhar is 1215490891 and holds a License No. 4424 (CT). The current practice location address for Maryam Iftikhar is 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 and can be reached out via phone at 860-967-3600.

Provider Profile Details

NPI Number
1215490891
Provider Name
Maryam Iftikhar
Provider Entity Type
Individual
Gender
Female
Address
672 Silas Deane Hwy, Wethersfield, CT 06109-3053
Phone Number
860-967-3600
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2019
Last Update Date
April 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
672 Silas Deane Hwy
Wethersfield, CT 06109-3053
Zip
06109-3053
Phone Number
860-967-3600
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
38 Bolduc CT
Wolcott, CT 06716-3146
City
Wolcott
State
CT
Zip
06716-3146
Phone Number
203-578-5157

License Information

License Number
4424
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maryam Iftikhar?

The NPI number of Maryam Iftikhar is 1215490891. It was assigned on April 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Maryam Iftikhar?

Maryam Iftikhar is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 4424.

Where does Maryam Iftikhar practice?

The practice location is 672 Silas Deane Hwy, Wethersfield, CT 06109-3053. The office can be reached at 860-967-3600 (phone).

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 1215490891 directly on the NPPES registry website.

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