Provider Demographics
NPI:1386645448
Name:KUMAR, CHANDRIKA S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDRIKA
Middle Name:S
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 KAYE PLZ
Mailing Address - Street 2:F17
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2252
Mailing Address - Country:US
Mailing Address - Phone:203-230-5859
Mailing Address - Fax:
Practice Address - Street 1:8 YORK STREET
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-688-8200
Practice Address - Fax:203-688-8204
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041693207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010041693CT01OtherANTHEM BC/BS
CT061561581OtherHEALTH CT
CTP3152237OtherOXFORD
CT001416933Medicaid
CTP00058222OtherRAIL ROAD MEDICARE
CT061561581OtherCIGNA
CT041693-H226OtherCONNECTICARE
CT061561581OtherCARE GUIDE
CT0Q2711OtherHEALTH NET
CT061561581OtherUNITED HEALTHCARE
CT3414374OtherAETNA
CTP00058222OtherRAIL ROAD MEDICARE
CT010041693CT01OtherANTHEM BC/BS