Dr Margaret Kiyo Ikeda, MD | |
374 Grand Ave, New Haven, CT 06513-3733 | |
(203) 777-7411 | |
(203) 777-6508 |
Full Name | Dr Margaret Kiyo Ikeda |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 374 Grand Ave, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750475117 | NPI | - | NPPES |
028111 | Other | CT | MEDICAL LICENSE |
17724 | Other | CT | CONTROLLED SUBSTANCE |
001281112 | Medicaid | CT | |
38502 | Other | CT | AMERICAN BOARD PEDIATRICS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 028111 (Connecticut) | Secondary |
208000000X | Pediatrics | 028111 (Connecticut) | Primary |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | United Community And Family Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
Mailing Address | Practice Location Address |
---|---|
Dr Margaret Kiyo Ikeda, MD 11 Flying Point Rd, Branford, CT 06405-5703 Ph: (203) 488-2296 | Dr Margaret Kiyo Ikeda, MD 374 Grand Ave, New Haven, CT 06513-3733 Ph: (203) 777-7411 |
Dr. Yeisid F Figueredo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20 York St, Dept Of Neonatology, New Haven, CT 06510 Phone: 203-688-2320 | |
Ruchika S Karnik, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Park St, New Haven, CT 06504 Phone: 203-785-4081 | |
Dr. Danice Kuruvilla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Park St, New Haven, CT 06504 Phone: 203-785-4081 | |
Thomas Garrett Flynn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414 | |
Caitlin Elizabeth Hansen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-4730 Fax: 203-785-6961 | |
Trupti Ingle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Dr. Shamsa N Shafi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 |