Individual
DR. DARIUSH OWLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 RETREAT AVE, SUITE 811, HARTFORD, CT 06106-2528
(860) 522-5712
(860) 520-4270
Mailing address
1 WHITFIELD HTS, AVON, CT 06001-3955
(860) 965-2055
(860) 677-6850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
017276
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001172766
—
CT
01
—
010017276CT01
ANTHEM BC/BS ID#
CT
01
—
0184408002
CIGNA HEALTHPLAN ID#
CT
01
—
052169-0446
CONNECTICARE INS. ID #
CT
01
—
781651
AETNA INS. ID #
CT
01
—
OS2420
HEALTHNET INS. ID#
CT
01
—
P12038310
MULTIPLAN ID#
CT
01
—
P1302020
OXFORD HEALTHPLANS ID#
CT
Enumeration date
07/26/2005
Last updated
01/01/2016
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