Provider Demographics
NPI:1417964123
Name:PAPASAVAS, PAVLOS K (MD)
Entity Type:Individual
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First Name:PAVLOS
Middle Name:K
Last Name:PAPASAVAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 415
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-246-2071
Mailing Address - Fax:860-524-2650
Practice Address - Street 1:330 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1236
Practice Address - Country:US
Practice Address - Phone:860-246-2071
Practice Address - Fax:860-524-2650
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2009-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT046035208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT046035OtherCONNECTICARE
CT06-1406459OtherUNITED HEALTHCARE
CT06-1406459OtherHEALTH NEW ENGLAND
CT06-1406459OtherNORTHEAST HEALTH DIRECT
CT06-1406459OtherCOMMUNITY HEALTH NETWORK
CT010046035CT01OtherANTHEM BC BS AND BCFP
CT1714964123Medicaid
CT7064497OtherAETNA
CT06-1406459OtherCORVEL
CT06-1406459OtherTRICARE
CT3V0135OtherHEALTH NET
CT06-1406459OtherWELLCARE
CT4206014OtherCIGNA
CTP3853811OtherOXFORD
CT06-1406459OtherGREAT WEST HEALTHCARE
CT06-1406459OtherMULTIPLAN
CT06-1406459OtherPRIVATE HEALTHCARE SYSTEM
CT06-1406459OtherPIONEER
CT06-1406459OtherCOMMUNITY HEALTH NETWORK
CT06-1406459OtherUNITED HEALTHCARE
CT06-1406459OtherHEALTH NEW ENGLAND