Dr. Theddeus Iheanacho, MD
Psychiatry & Neurology, Psychiatry in Milford, Connecticut
1922312503- Practice location
- 203 Broad St, Suite C-4, Milford, CT 06460-4751
- Phone
- 203-874-0593
- Fax
- 203-877-8053
- Last updated
- July 16, 2012
Theddeus Iheanacho is a Psychiatry & Neurology, Psychiatry based in Milford, CT. Theddeus Iheanacho practices in Milford, CT and has the professional credentials of MD. The NPI Number for Theddeus Iheanacho is 1922312503 and holds a License No. 258158 (NY). The current practice location address for Theddeus Iheanacho is 203 Broad St, Suite C-4, Milford, CT 06460-4751 and can be reached out via phone at 203-874-0593 and via fax at 203-877-8053.
Provider Profile Details
- NPI Number
- 1922312503
- Provider Name
- Theddeus Iheanacho
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 203 Broad St, Suite C-4, Milford, CT 06460-4751
- Phone Number
- 203-874-0593
- Fax Number
- 203-877-8053
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 5, 2010
- Last Update Date
- July 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 203 Broad St
Suite C-4
Milford, CT 06460-4751 - City
- Milford
- State
- Connecticut
- Zip
- 06460-4751
- Phone Number
- 203-874-0593
- Fax Number
- 203-877-8053
Provider Business Mailing Address Details
- Address
- 203 Broad St
Suite C-4
Milford, CT 06460-4751 - City
- Milford
- State
- CT
- Zip
- 06460-4751
- Phone Number
- 203-874-0593
- Fax Number
- 203-877-8053
License Information
- License Number (1)
- 258158
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 49777
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · 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. Theddeus Iheanacho, MD?
The NPI number of Dr. Theddeus Iheanacho, MD is 1922312503. It was assigned on August 5, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Theddeus Iheanacho, MD?
Dr. Theddeus Iheanacho, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 258158.
Where does Dr. Theddeus Iheanacho, MD practice?
The practice location is 203 Broad St, Suite C-4, Milford, CT 06460-4751. The office can be reached at 203-874-0593 (phone) or 203-877-8053 (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 1922312503 directly on the NPPES registry website.