Kavita Joshi Llc | |
115 Technology Dr Unit B100 Trumbull CT 06611-6338 | |
(203) 606-5951 | |
Not Available |
Full Name | Kavita Joshi Llc |
---|---|
Speciality | Internal Medicine |
Location | 115 Technology Dr Unit B100, Trumbull, Connecticut |
Authorized Official Name and Position | Amit Mahajan (MANAGER) |
Authorized Official Contact | 2036856976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kavita Joshi Llc 9 Twinbrook Dr Woodbridge CT 06525-2042 Ph: () - | Kavita Joshi Llc 115 Technology Dr Unit B100 Trumbull CT 06611-6338 Ph: (203) 606-5951 |
NPI Number | 1093183691 |
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Provider Enumeration Date | 09/14/2015 |
Last Update Date | 09/14/2015 |
Medicare PECOS PAC ID | 1052611944 |
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Medicare Enrollment ID | O20151125001068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093183691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 040673 (Connecticut) | Primary |
Provider Name | Kavita Joshi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881654291 PECOS PAC ID: 2769376748 Enrollment ID: I20040211000103 |
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