Talwalkar, Jaideep Shrirang

Talwalkar, Jaideep Shrirang is an individual health care provider with primary practice located at 20 York St Ynhh West Pavilion, 2Nd Fl, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Talwalkar, Jaideep Shrirang can be contacted via phone (203) 688-1947.

Contact Information

Primary practice address
20 York St Ynhh West Pavilion, 2Nd Fl New Haven CT 06510-3220
Phone: (203) 688-1947
Fax: (203) 688-8580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042413 Connecticut

Profile Details

NPI number 1639152721
LBN Legal business name Talwalkar, Jaideep Shrirang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639152721 NPPES
Connecticut MEDICAID 001424134
Connecticut Other 3679994/7626599
Connecticut Other 010042413CT03
Connecticut Other 042413
Connecticut Other 24-47056
Connecticut Other 2V5361

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