Provider Demographics
NPI:1992920276
Name:KARANDIKAR, ABHIJAY PRABHAKAR (MD)
Entity type:Individual
Prefix:DR
First Name:ABHIJAY
Middle Name:PRABHAKAR
Last Name:KARANDIKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:112 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2737
Mailing Address - Country:US
Mailing Address - Phone:860-425-8735
Mailing Address - Fax:860-425-8707
Practice Address - Street 1:42 TOWN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2316
Practice Address - Country:US
Practice Address - Phone:860-886-0567
Practice Address - Fax:860-886-0656
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME0176882083P0500X
CT0545632083X0100X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine