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General NPI Number Information
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NPI Number | 1558746289
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Entity Type | Organization
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Legal Business Name | AAKAISH HEALTHCARE LLC
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 100 LINWOOD AVE
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City | COLCHESTER
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State | CT
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Zip | 06415-1138
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Country | US
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Telephone | 860-415-3622
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Fax | 860-603-2265
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Provider Business Mailing Address
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Address Line | 100 LINWOOD AVE
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City | COLCHESTER
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State | CT
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Zip | 06415-1138
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Country | US
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Telephone | 860-415-3622
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Fax | 860-603-2265
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SRINIVASULU CONJEEVARAM
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Credential | MD
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Telephone | 630-207-2557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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