Individual
DR. MITHLESH GOVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
196 PARKWAY S, SUITE 303, WATERFORD, CT 06385-1234
(860) 443-4455
(860) 447-8961
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(866) 861-9119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021686
CT
207RH0003X
Hematology & Oncology Physician
Primary
021686
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216860
—
CT
Enumeration date
07/07/2005
Last updated
06/25/2014
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