M Ehsan Qadir MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

025164 Issued in CT

Legal business name

M EHSAN QADIR MD LLC

Practice address

22 Westfield Ave
Suite 1
Ansonia, CT 06401-1158

Phone

(203) 732-1677

Fax

(203) 732-1680

NPI assigned

Oct 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jan Tylinski

Title

Office Manager

Phone

(203) 732-1677

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1154573657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE",
            "address_2": "SUITE 1",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-732-1677",
            "fax_number": "203-732-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE",
            "address_2": "SUITE 1",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-732-1677",
            "fax_number": "203-732-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M EHSAN QADIR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "TYLINSKI",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-732-1677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001251644",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Lepage
• Robert Lance Lerman, DMD
• Deborah E Levenson, M.D.
• Michael T Lipcan III, MD
• Siobhian Lowman
• Ashish Malhotra, MD
• Manna Support Services
• Allyssa Manning, LPN
• David R Marks, M.D.
• Fiona Catherine Marlow, M.D.

• Internal Medicine Physician in Ansonia, CT
• Providers in Ansonia, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.