Maryam Iftikhar (NPI# 1215490891, PAC ID# 1153654751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215490891 |
| PAC ID by PECOS | 1153654751 |
| Professional Enrollment ID | I20190613002533 |
| Full Name | Maryam Iftikhar |
| Organization Legal Name | 1271972 LLC |
| Address |
175 Webster Square Rd Berlin CT 06037-2328 |
| Phone Number | 8604203660 |
| Gender | F |
| Medical School | MERCY COLLEGE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688988371 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 175 Webster Square Rd, Berlin, CT 06037-2328 | 8604203660 | 1271972 LLC |
| 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 | 8609673600 | 1271972 LLC |
| Organization Legal Name | 1271972 LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanna L. Breton | Nurse Practitioner | 1271972 LLC | 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012 |
| Jurg Oggenfuss | Nurse Practitioner | 1271972 LLC | 175 Webster Square Rd, Berlin, CT 06037-2328 |
| Thomas A Brown | Internal Medicine | 1271972 LLC | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 |
| Huma Hussain | Nurse Practitioner | 1271972 LLC | 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012 |
| Nicholas Desorbo | Nurse Practitioner | 1271972 LLC | 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012 |
| Autumn Smith | Physician Assistant | 1271972 LLC | 175 Webster Square Rd, Berlin, CT 06037-2328 |
| Muhammad Aftab Zubairi | Nurse Practitioner | 1271972 LLC | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 |
| Monique R Martin | Internal Medicine | 1271972 LLC | 175 Webster Square Rd, Berlin, CT 06037-2328 |
| Emily L Lukasiak | Physician Assistant | 1271972 LLC | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 |
| Michelle Ziegler | Physician Assistant | 1271972 LLC | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 |
| Street Address |
175 WEBSTER SQUARE RD |
| City | BERLIN |
| State | CT |
| Zip | 06037-2328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jurg Oggenfuss | Nurse Practitioner | 1271972 LLC | 175 Webster Square Rd, Berlin, CT 06037-2328 |
| Autumn Smith | Physician Assistant | 1271972 LLC | 175 Webster Square Rd, Berlin, CT 06037-2328 |
| Monique R Martin | Internal Medicine | 1271972 LLC | 175 Webster Square Rd, Berlin, CT 06037-2328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin B Roth | Chiropractic | 355 New Britain Rd, Kensington, CT 06037-1318 | |
| Donald L Piccoli | Chiropractic | 363 New Britain Rd, Kensington, CT 06037-1318 | |
| Thomas G Lapointe Sr. | Podiatry | 68 Upson Ave, Berlin, CT 06037-1342 | |
| Elizabeth Solano | Internal Medicine | Prohealth Physicians PC | 211 New Britain Rd, Kensington, CT 06037-1360 |
| Katrina Hrubiec | Optometry | Trimble Vision Services, LLC | 28 Chamberlain Hwy, Kensington, CT 06037-1921 |
| Michelle Imossi | Chiropractic | 36 Chamberlain Hwy, Kensington, CT 06037-1921 | |
| Carol Lamson | Clinical Social Worker | Paragon Behavioral Health, LLC | 26 Chamberlain Hwy, Kensington, CT 06037-1921 |
| Jason Mark Perez | Clinical Social Worker | Paragon Behavioral Health, LLC | 26 Chamberlain Hwy, Kensington, CT 06037-1921 |
| Barbara H Brien | Clinical Social Worker | Paragon Behavioral Health, LLC | 26 Chamberlain Hwy, Kensington, CT 06037-1921 |
| Jacqueline C Martin | Nurse Practitioner | Paragon Behavioral Health, LLC | 26 Chamberlain Hwy, Kensington, CT 06037-1921 |
| Find all physicians in zip 06037 | |||
| City | BERLIN |
| Zip Code | 06037 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BERLIN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Maryam Iftikhar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.