Provider Demographics
NPI:1417029877
Name:ALAIGH, RAVINDER K
Entity Type:Individual
Prefix:DR
First Name:RAVINDER
Middle Name:K
Last Name:ALAIGH
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:RAVINDER
Other - Middle Name:K
Other - Last Name:ALAIGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:90 MORGAN ST
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5466
Mailing Address - Country:US
Mailing Address - Phone:203-325-2120
Mailing Address - Fax:203-325-3270
Practice Address - Street 1:90 MORGAN ST
Practice Address - Street 2:SUITE # 103
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5466
Practice Address - Country:US
Practice Address - Phone:203-325-2120
Practice Address - Fax:203-325-3270
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034325207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTGROUP # 004142337Medicaid
CT001343251Medicaid
CTGROUP # 004142337Medicaid
CTG06229Medicare UPIN