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NPI Code Detail

MEDICARE: ALAN KAYE MD

MEDICARE:   ALAN  KAYE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician024624CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6300124897OTHERCTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001246248P2OTHERCTBLUE CARE FAMILY PLAN
22069098OTHERCTUNITED HEALTHCARE
30086989OTHERCTAETNA CT
4ANC1162OTHERCTOXFORD HEALTH PLANS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7061613357OTHERCTCIGNA CT
8500HBX051CT01OTHERCTBCBS CT
9OV9113OTHERCTHEALTH NET

General Provider Information

NPI Number : 1871589242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN KAYE MD
Provider Business Mailing Address
First Line : 3 ENTERPRISE DR
Second Line : STE 220
City : SHELTON
State : CT
Zip : 06484-4694
Country : US
Telephone Number : 603-890-4404
Fax Number : 603-893-8886
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-2805
Country : US
Telephone Number : 203-384-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 04/04/2017

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Directions to “ ALAN KAYE MD” Practice Location

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