Individual
KEVIN M THARAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1591 BOSTON POST RD STE 100, GUILFORD, CT 06437-4335
(203) 932-6481
(203) 932-4051
Mailing address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76890
CT
Other
Enumeration date
03/30/2021
Last updated
07/28/2025
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