Provider Demographics
NPI:1225164320
Name:KALE, MILIND (MD)
Entity Type:Individual
Prefix:DR
First Name:MILIND
Middle Name:
Last Name:KALE
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 1:57 OLD MAIDS LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06073-3007
Mailing Address - Country:US
Mailing Address - Phone:860-561-5453
Mailing Address - Fax:860-371-2527
Practice Address - Street 1:140 GLASTONBURY BLVD STE 30
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4459
Practice Address - Country:US
Practice Address - Phone:860-561-5453
Practice Address - Fax:860-371-2527
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0379402084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry