Provider Demographics
NPI:1851418859
Name:PAPADIKIS, KATHRYN M (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:PAPADIKIS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:240 EAST ST
Mailing Address - Street 2:SUITE 1200 WEST
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2935
Mailing Address - Country:US
Mailing Address - Phone:860-747-4541
Mailing Address - Fax:860-793-1218
Practice Address - Street 1:900 NORTHROP RD
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-1997
Practice Address - Country:US
Practice Address - Phone:615-778-4066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2016-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0294512083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine