Igor V Samegulin


Address: 74 Park Rd, West Hartford, CT 06119-1853

Igor V Samegulin (NPI# 1255517249, PAC ID# 7416136668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1255517249
PAC ID by PECOS 7416136668
Professional Enrollment ID I20110120000612
Full Name Igor V Samegulin
Address 74 Park Rd
West Hartford
CT 06119-1853
Gender M
Graduation Year 1995
Primary Specialty FAMILY MEDICINE
Secondary Specialties HOSPITALIST
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070020 MIDDLESEX HOSPITAL

Other Locations

Address Phone Organization
28 Crescent St, Middletown, CT 06457-3654 8603585322 MIDDLESEX HOSPITAL
80 S Main St, Middletown, CT 06457-3648 8603586878 MIDDLESEX HOSPITAL
74 Park Rd, West Hartford, CT 06119-1853

Organization Information

Office Location

Street Address 74 PARK RD
City WEST HARTFORD
State CT
Zip 06119-1853

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Name Specialty Organization Address
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Competitor

Search similar physicians

City WEST HARTFORD
Zip Code 06119
Specialty FAMILY MEDICINE
City + Specialty WEST HARTFORD + FAMILY MEDICINE

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Dataset Information

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.

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