Individual
RADHIKA MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BANK ST, SUITE 307, SEYMOUR, CT 06483-2806
(203) 888-8669
(203) 888-6302
Mailing address
100 BANK ST, SUITE 307, SEYMOUR, CT 06483-2806
(203) 888-8669
(203) 888-6302
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
033918
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01003918CT02
ANTHEM BCBS
CT
01
—
0227800004
CIGNA
CT
01
—
033918
CONNECTICARE
CT
01
—
12-02623
UNITED HEALTH CARE
CT
01
—
220953
PREFERRED ONE
CT
01
—
2V2885
HEALTH NET
CT
01
—
5769633
AETNA US HEALTHCARE
CT
01
—
P998690
OXFORD
CT
Enumeration date
12/15/2006
Last updated
07/08/2007
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