Individual
JAIDEEP SHRIRANG TALWALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH WEST PAVILION, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 688-1947
(203) 688-8580
Mailing address
20 YORK ST, YNHH WEST PAVILION, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 688-1947
(203) 688-8580
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042413
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424134
—
CT
01
—
010042413CT03
ANTHEM BCBS CT
CT
01
—
042413
CONNECTICARE
CT
01
—
24-47056
AMERICHOICE
CT
01
—
2V5361
HEALTHNET/COMMERCIAL
CT
01
—
3679994/7626599
AETNA
CT
Enumeration date
11/22/2005
Last updated
11/23/2021
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