POURKAVOOS MEDICAL CENTER, LLC
NPI 1346543642
Family Medicine in Avon, CT

Active since December 09, 2010
35 NOD RD, SUITE 205, AVON, CT 06001(860) 676-0090(860) 676-0040 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pourkavoos Medical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POURKAVOOS MEDICAL CENTER, LLC (NPI 1346543642) is a healthcare organization registered as a family medicine in Avon, Connecticut and active in the NPI registry since December 2010. The organization lists Khosro Pourkavoos, Owner, as its authorized official.

NPPES Registry Identity

NPI1346543642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOURKAVOOS MEDICAL CENTER, LLC
Location Address35 NOD RD, SUITE 205Avon, CT 06001-3826
Mailing Address35 Nod Rd, Suite 205Avon, CT 06001-3826 · (860) 676-0090 · Fax (860) 676-0040
Fax(860) 676-0040
Organization SubpartNo
Authorized OfficialKhosro PourkavoosOwner · (860) 676-0090
Enumeration DateDecember 9, 2010
NPI 1346543642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 039709
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

35 NOD RD, Avon, CT 06001

Other Identifiers 2

Medicaid001397092CT
Medicare PINF 30245CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
35 NOD RD, 102
AVON, CT 06001
Plastic Surgery
35 NOD RD, SUITE 204
AVON, CT 06001
Internal Medicine
35 NOD RD, SUITE 201A
AVON, CT 06001
Radiology (Diagnostic Radiology)
35 NOD RD
AVON, CT 06001
Plastic Surgery
35 NOD RD, SUITE 204
AVON, CT 06001
Obstetrics & Gynecology (Gynecology)
35 NOD RD
AVON, CT 06001
Family Medicine
35 NOD RD, SUITE 205
AVON, CT 06001
Physical Therapist
35 NOD RD, SUITE 102
AVON, CT 06001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pourkavoos Medical Center, LLC's NPI number?

The NPI number for Pourkavoos Medical Center, LLC is 1346543642. It was assigned to this organization in the NPPES registry on December 9, 2010.

Where is Pourkavoos Medical Center, LLC located?

Pourkavoos Medical Center, LLC is located at 35 Nod Rd Suite 205, Avon, CT 06001. The listed phone number is (860) 676-0090.

What is Pourkavoos Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pourkavoos Medical Center, LLC was last updated on December 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.