Individual
KISMATKUMAR DETROJA
Active
Individual
KISMATKUMAR DETROJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044462
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001444629
—
CT
01
—
010044462CT01
BCBS
CT
01
—
144462
CONNECTICARE
CT
01
—
149777465
CIGNA
—
01
—
1497774657
CHN
CT
01
—
207787971
TRICARE
—
01
—
41044914
TRICARE
—
01
—
581828
HMN
CT
01
—
7382858
AETNA
CT
Enumeration date
07/19/2006
Last updated
12/21/2023
Update your record
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