Individual
NEDA KHAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W PUTNAM AVE, SUITE 100, GREENWICH, CT 06830-6086
(203) 863-2900
(203) 863-2901
Mailing address
500 W PUTNAM AVE, SUITE 100, GREENWICH, CT 06830-6086
(203) 863-2900
(203) 863-2901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
039573
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001395731
—
CT
01
—
010039573CT01
CT BLUE CROSS BLUE SHIELD
CT
01
—
039573
COMMERCIAL
CT
Enumeration date
07/23/2006
Last updated
07/08/2007
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