Qaiyum Mujtaba (NPI# 1366420184, PAC ID# 3072583301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366420184 |
| PAC ID by PECOS | 3072583301 |
| Professional Enrollment ID | I20100220000419 |
| Full Name | Qaiyum Mujtaba |
| Address |
750 Savin Ave West Haven CT 06516-4314 |
| Gender | M |
| Graduation Year | 1967 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ENDOCRINOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 750 Savin Ave, West Haven, CT 06516-4314 |
| Street Address |
750 SAVIN AVE |
| City | WEST HAVEN |
| State | CT |
| Zip | 06516-4314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Awilda Figueroa | Chiropractic | Connecticut Chiropractic Specialists LLC | 183 Boston Post Rd, West Haven, CT 06516-2026 |
| Vincent P Loricco | Chiropractic | Connecticut Chiropractic Specialists LLC | 183 Boston Post Rd, West Haven, CT 06516-2026 |
| Hannah Schacht | Clinical Social Worker | Sunrise Psychological Services LLC | 310 Terrace Ave, West Haven, CT 06516-2638 |
| Christine Ann Nucci | Clinical Social Worker | Sunrise Psychological Services LLC | 310 Terrace Ave, West Haven, CT 06516-2638 |
| Lora Small | Clinical Social Worker | Sunrise Psychological Services LLC | 310 Terrace Ave, West Haven, CT 06516-2638 |
| Ellen Louise Sollazzo | Nurse Practitioner | Sunrise Psychological Services LLC | 310 Terrace Ave, West Haven, CT 06516-2638 |
| Andrew B Pleshkevich | Psychologist, Clinical | Sunrise Psychological Services LLC | 310 Terrace Ave, West Haven, CT 06516-2638 |
| Henry Klar Yaggi | Pulmonary Disease | Yale University | 950 Campbell Ave, West Haven, CT 06516-2770 |
| Holly Penkacik | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 689 Campbell Ave, West Haven, CT 06516-3711 |
| David A Brown | Physical Therapy | Physicians Alliance of Connecticut LLC | 689 Campbell Ave, West Haven, CT 06516-3711 |
| Find all physicians in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WEST HAVEN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Qaiyum Mujtaba.
| 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.