Individual
KESHAVA H AITHAL
Active
Individual
KESHAVA H AITHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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