Provider Demographics
NPI:1003883232
Name:LIMAYE, PARESH (MD)
Entity Type:Individual
Prefix:
First Name:PARESH
Middle Name:
Last Name:LIMAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CONNECTICUT BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-3015
Mailing Address - Country:US
Mailing Address - Phone:860-761-1234
Mailing Address - Fax:860-288-2545
Practice Address - Street 1:111 CONNECTICUT BLVD
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3015
Practice Address - Country:US
Practice Address - Phone:860-761-1234
Practice Address - Fax:860-288-2545
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036874207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
010036874CT02OtherBLUE CROSS BLUE SHIELD
CT001368746Medicaid
0368745121OtherCONNECTICARE
0371247003OtherSIGNA
P1278544OtherOXFORD
0V9709OtherHEALTH NET
CT00136874601OtherMEDICAID HMO
CT189162OtherMEDICAID HMO
2619324OtherAETNA