Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 034177 | CT |
NPI | 1013018357 |
---|---|
Provider Name | Dr. Altaf Rasool |
First Address | Uncasville, CT 06382-2518 |
Second Address | Uncasville, CT 06382-2518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 24/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001341776 | (05) | CT |
010034177CT02 | BC/BS (01) | CT |
034177 | CONNECTICARE (01) | CT |
12373437 | MULTIPLAN (01) | CT |
2560336 | UNITED HEALTH (01) | CT |
2V7239 | HEALTH NET (01) | CT |
5479643-1057846 | AETNA -INTERNAL MEDICINE (01) | CT |
5479643-1071553 | AETNA (01) | CT |
6848847 | SIGNA (01) | CT |
C01668 | PTAN (01) | CT |
G10377 | (02) | |
P3625618 | OXFORD (01) | CT |