Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric & Adolescent Medicine

Organization Family Medicine Physician · NPI 1265472583

Pediatric & Adolescent Medicine is a Family Medicine Physician in East Hartford, Connecticut. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

580 Burnside Ave Ste 3
East Hartford, CT 06108-3579
Phone: (860) 282-7128
Fax: (860) 646-1261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1265472583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaheen Ahmed — Owner · (860) 643-5218
NPI enumeratedJune 7, 2006
Last updated in NPPESDecember 16, 2014
Mailing address580 Burnside Ave, Suite 3, East Hartford, CT 06108-3579

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