Individual
KESHAVA H AITHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES, MIDDLETOWN, CT 06457-4747
(860) 347-4258
(860) 704-5924
Mailing address
420 SAYBROOK RD, STE A, MIDDLETOWN, CT 06457-4747
(860) 636-2010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
022621
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000199534901
UNITED HC
—
01
—
00122621600
EDS BLUE CARE
—
05
—
00122621600
—
CT
01
—
010022621CT01
ANTHEM
—
01
—
052155
CT
—
01
—
210494
AETNA
—
01
—
593866005
CIGNA
—
01
—
OVO216
HEALTH NET
—
01
—
P1539752
OXFORD
—
Enumeration date
08/29/2006
Last updated
11/06/2019
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