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Individual

NITU M KASHYAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
789 HOWARD AVE, PRIMARY CARE CENTER, NEW HAVEN, CT 06511
(203) 688-1341
(203) 688-2525
Mailing address
789 HOWARD AVE, PRIMARY CARE CENTER, NEW HAVEN, CT 06511
(203) 688-1341
(203) 688-2525

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048167
CT
207R00000X
Internal Medicine Physician
223406
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042472266
TRICARE CHAMPUS
01
2100878
WELFARE
05
2100878
MA
01
2146266
CIGNA HEALTH PLAN
01
468032
TUFTS HEALTH PLAN
01
5617298
FIRST HEALTH
01
7024702
AETNA US HEALTHCARE
01
85974
CHILDRENS MEDICAL SECURIT
01
92201
FALLON COMMUNITY HEALTH P
01
AA30953
HARVARD PILGRIM HEALTHCAR
01
J28591
BLUE SHIELD INDEMNITY
Enumeration date
03/28/2006
Last updated
04/01/2011
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