=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023976636
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AAKAISH SANJEEVI HOME HEALTH PHYSICIANS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2026
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 LINWOOD AVE FL 1
-----------------------------------------------------
City | COLCHESTER
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06415-1138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-531-9484
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 LINWOOD AVE FL 1
-----------------------------------------------------
City | COLCHESTER
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06415-1138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-531-9484
-----------------------------------------------------
Fax | 860-603-2265
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SRINIVASULU CONJEEVARM
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 630-207-2557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------