Provider Demographics
NPI:1114089307
Name:SINDWANI, DESH R (MD)
Entity Type:Individual
Prefix:MR
First Name:DESH
Middle Name:R
Last Name:SINDWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7 MAGAURAN DRIVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-4008
Mailing Address - Country:US
Mailing Address - Phone:860-684-3745
Mailing Address - Fax:860-684-2445
Practice Address - Street 1:7 MAGAURAN DRIVE
Practice Address - Street 2:SUITE #2
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076-4008
Practice Address - Country:US
Practice Address - Phone:860-684-3745
Practice Address - Fax:860-684-2445
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT017823207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
010017823CT01OtherANTHEM BCBS
OR1050OtherHEALTHNET
1767850OtherCIGNA
4234274OtherAETNA
052494OtherCONNECTICARE
70999OtherUNITED HEALTHCARE
TOS026OtherOXFORD
D33547OtherBANKERS LIFE AND CASUALTY
D33547OtherBANKERS LIFE AND CASUALTY