Individual
ANISHA RAJESH PAREKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 VISTA DR, EASTPORT NORTH BUSINESS PARK, OLD LYME, CT 06371-1537
(860) 434-8847
(860) 434-0428
Mailing address
48 DAISY HILL RD, OAKDALE, CT 06370-1753
(860) 442-4909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010039730CT01
ANTHEM PROVIDER ID
—
01
—
2V0400
HEALTHNET PROVIDER ID
CT
Enumeration date
05/27/2006
Last updated
01/06/2011
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