Provider Demographics
NPI:1194165720
Name:H AND B QUALITY MEDICAL CARE LLC
Entity type:Organization
Organization Name:H AND B QUALITY MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST /DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-754-7407
Mailing Address - Street 1:2 IVY BROOK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6416
Mailing Address - Country:US
Mailing Address - Phone:860-754-7407
Mailing Address - Fax:
Practice Address - Street 1:2 IVY BROOK RD STE 120
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6416
Practice Address - Country:US
Practice Address - Phone:860-754-7407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046285207R00000X
CT461812084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty