Individual
DR. AMIT MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 SPLIT ROCK RD, TRUMBULL, CT 06611-2650
(203) 685-6976
(203) 445-1699
Mailing address
28 SPLIT ROCK RD, TRUMBULL, CT 06611-2650
(203) 685-6976
(203) 445-1699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040955
CT
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
040955
CT
2085N0700X
Neuroradiology Physician
040955
CT
2085R0202X
Diagnostic Radiology Physician
040955
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2V5074
HEALTH NET
CT
Enumeration date
03/08/2007
Last updated
08/10/2010
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