KRISHAN RATILAL JETHWA (NPI# 1194136713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194136713 |
| Entity Type | Individual |
| Full Name | KRISHAN RATILAL JETHWA |
| Credential | M.D. |
| Practice Address |
35 Park St Ste Ll507 New Haven CT 06519 |
| Mailing Address |
15 York St Hrt Ste 135 New Haven CT 06510-3221 |
| Practice Telephone | 2032002000 |
| Mailing Telephone | 2037377101 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
62580 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 230 Waterford Pkwy S, Waterford, CT 063851219 | 8604443744 | |
| 2080 Whitney Ave, Hamden, CT 065183600 | 2038675622 |
| Street Address |
35 PARK ST STE LL507 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| 1619263464 | William Krahe | Social Worker | 400- 428 Columbus Avenue, New Haven, CT 06519 | 2011-06-21 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
| 1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
| 1093716862 | Daniela Gidea-addeo | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2005-08-03 |
| 1760862601 | Thomas John Hayman | Radiology | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2015-06-05 |
| 1528472313 | Skyler Bryce Johnson | Radiology | 20 York St, New Haven, CT 06510-3220 | 2014-06-19 |
| 1821417627 | Andrew Zhang | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2014-04-09 |
| 1730507971 | Jacqueline Kelly | Radiology | 20 York St, Ynhh Department of Therapeutic Radiology, New Haven, CT 06510-3220 | 2014-04-04 |
| 1699119628 | Sanjay Aneja | Radiology | 20 York St, Ll507, New Haven, CT 06510-3220 | 2013-04-21 |
| 1669714739 | Yi An | Radiology | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-03-26 |
| 1730441544 | Henry Soo-min Park | Radiology | 35 Park St, Smilow Cancer Hospital, Ll510, New Haven, CT 06519-1110 | 2012-06-08 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.