Dr. Chadi Berjaoui, MD
Family Medicine in Old Lyme, Connecticut
1366893281- Practice location
- 19 Halls RD, Old Lyme, CT 06371-1457
- Phone
- 860-434-8300
- Fax
- 860-865-2388
- Last updated
- January 19, 2024
Chadi Berjaoui is a Family Medicine based in Old Lyme, CT. Chadi Berjaoui practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Chadi Berjaoui is 1366893281 and holds a License No. R75735 (AZ). The current practice location address for Chadi Berjaoui is 19 Halls RD, Old Lyme, CT 06371-1457 and can be reached out via phone at 860-434-8300 and via fax at 860-865-2388.
Provider Profile Details
- NPI Number
- 1366893281
- Provider Name
- Chadi Berjaoui
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19 Halls RD, Old Lyme, CT 06371-1457
- Phone Number
- 860-434-8300
- Fax Number
- 860-865-2388
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2016
- Last Update Date
- January 19, 2024
- Certification Date
- January 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Halls RD
Old Lyme, CT 06371-1457 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1457
- Phone Number
- 860-434-8300
- Fax Number
- 860-865-2388
Provider Business Mailing Address Details
- Address
- 19 Halls RD
Old Lyme, CT 06371-1457 - City
- Old Lyme
- State
- CT
- Zip
- 06371-1457
- Phone Number
- 860-434-8300
- Fax Number
- 860-865-2388
License Information
- License Number (1)
- R75735
- License State (1)
- AZ
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 57761
- License State (2)
- AZ
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 76411
- License State (3)
- CT
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Chadi Berjaoui, MD?
The NPI number of Dr. Chadi Berjaoui, MD is 1366893281. It was assigned on June 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Chadi Berjaoui, MD?
Dr. Chadi Berjaoui, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in AZ under license number R75735.
Where does Dr. Chadi Berjaoui, MD practice?
The practice location is 19 Halls RD, Old Lyme, CT 06371-1457. The office can be reached at 860-434-8300 (phone) or 860-865-2388 (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 1366893281 directly on the NPPES registry website.