Provider Demographics
NPI:1710327416
Name:VACHHANI, APEKSHA (MD)
Entity Type:Individual
Prefix:
First Name:APEKSHA
Middle Name:
Last Name:VACHHANI
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 1:101 ST. ANDREWS LANE
Mailing Address - Street 2:NSLIJ-GLEN COVE HOSPITAL
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542
Mailing Address - Country:US
Mailing Address - Phone:516-674-7631
Mailing Address - Fax:516-674-7639
Practice Address - Street 1:98 MAIN ST
Practice Address - Street 2:HARTFORD HEALTHCARE MEDICAL GROUP
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-2500
Practice Address - Country:US
Practice Address - Phone:860-621-6704
Practice Address - Fax:860-620-0446
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT054975207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine