Provider Demographics
NPI:1154483964
Name:APARNA OLTIKAR MD LLC
Entity Type:Organization
Organization Name:APARNA OLTIKAR MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLTIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-496-9988
Mailing Address - Street 1:PO BOX 574
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:CT
Mailing Address - Zip Code:06058
Mailing Address - Country:US
Mailing Address - Phone:860-542-5653
Mailing Address - Fax:860-542-5653
Practice Address - Street 1:1185 NEW LITCHFIELD STREET
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790
Practice Address - Country:US
Practice Address - Phone:860-496-9988
Practice Address - Fax:860-496-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G99564Medicare UPIN