Individual
RICHARD SIAHAAN
Active
Individual
RICHARD SIAHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
024303
CT
207R00000X
Internal Medicine Physician
Primary
24303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004263612
CHN
CT
05
—
004263612
—
CT
01
—
010024303CT01
BLUESHIELD
CT
01
—
0V0438
HEALTHNET
CT
01
—
1751515
UNITED HEALTHCARE
GA
01
—
369877
WELLCARE
CT
01
—
427750
TUFTS
MA
01
—
514837
AETNA
TX
01
—
704554
CONNECTICARE
CT
01
—
7294618
CIGNA
PA
01
—
80705
GREATWEST
CT
01
—
P3592661
OXFORD
CT
Enumeration date
04/18/2007
Last updated
12/28/2016
Update your record
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