Provider Demographics
NPI:1093106866
Name:YALE HOME CARE PHYSICIANS INC
Entity Type:Organization
Organization Name:YALE HOME CARE PHYSICIANS INC
Other - Org Name:828 - URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-404-1010
Mailing Address - Street 1:102 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2626
Mailing Address - Country:US
Mailing Address - Phone:203-404-1010
Mailing Address - Fax:860-426-2898
Practice Address - Street 1:1783 MERIDEN WATERBURY TPKE
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06479-0268
Practice Address - Country:US
Practice Address - Phone:203-404-1010
Practice Address - Fax:860-426-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty