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Amjad Panickaveettil Mohamed Basheer, MBBS
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1255994901

Amjad Panickaveettil Mohamed Basheer is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Amjad Panickaveettil Mohamed Basheer practices in Farmington, CT and has the professional credentials of MBBS. The NPI Number for Amjad Panickaveettil Mohamed Basheer is 1255994901 and holds a License No. (Connecticut).

The current practice location address for Amjad Panickaveettil Mohamed Basheer is Uconn Health - General Medicine Clinic, Farmington, CT and can be reached out via phone at 860-679-4477 and via fax at 860-679-1025.

Location: Uconn Health - General Medicine Clinic, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255994901
Provider Name
Amjad Panickaveettil Mohamed Basheer
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
Uconn Health - General Medicine Clinic, Farmington, CT, 06030-1921
Phone Number
860-679-4477
Fax Number
860-679-1025
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Uconn Health - General Medicine Clinic
City
Farmington
State
Connecticut
Zip
06030-8021
Phone Number
860-679-4477
Fax Number
860-679-1025
person
Provider Business Mailing Address Details
Address
Uconn Health - General Medicine Clinic
City
Farmington
State
Connecticut
Zip
06030-8021
Phone Number
860-679-4477
Fax Number
860-679-1025
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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