KARTHIKEYAN KANDAVELOU


Address: 536 Saybrook Rd, Middletown, CT 06457-4783
Phone: 8603582218

KARTHIKEYAN KANDAVELOU (NPI# 1730316068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730316068
Entity Type Individual
Full Name KARTHIKEYAN KANDAVELOU
Credential MD
Practice Address 536 Saybrook Rd
Middletown
CT 06457-4783
Practice Telephone 8603582218
Mailing Telephone 8603582218
Enumeration Date 2009-06-12
Last Update Date 2017-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
53842 CT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 536 SAYBROOK RD
City MIDDLETOWN
State CT
Zip Code 06457-4783

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366431967 Anwar M Khan Radiology 536 Saybrook Rd, Middletown, CT 06457-4783 2005-10-17
1902380363 Bryan David Godduhn Nurse Practitioner 536 Saybrook Rd, Middletown, CT 06457-4783 2018-09-21
1831442276 Megan E Homes Nurse Practitioner 536 Saybrook Rd, Middletown, CT 06457-4783 2012-10-23
1891084380 Steven Oh Radiology 536 Saybrook Rd, Middlesex Hospital Cancer Center, Middletown, CT 06457 2011-04-05
1467659557 Elizabeth Ann Mariano Internal Medicine 536 Saybrook Rd, Middletown, CT 06457 2007-07-02
1881817492 Sharon L. Hines Nurse Practitioner 536 Saybrook Rd, Middletown, CT 06457-4712 2007-04-11
1902962905 Central Connecticut Radiation Oncology PC Internal Medicine 536 Saybrook Rd, Middlesex Hospital Cancer Center, Middletown, CT 06457 2006-12-28
1467559856 Robert J. Levy Internal Medicine 536 Saybrook Rd, Middletown, CT 06457-4712 2006-09-20
1174629349 James E Brown Internal Medicine 536 Saybrook Rd, Middletown, CT 06457-4712 2006-09-15
1033215132 Miklos C. Fogarasi Internal Medicine 536 Saybrook Rd, Middletown, CT 06457-4712 2006-09-15
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NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740397462 Mid Hudson Hematology Oncology PC Internal Medicine 185 Rykowski Ln, Middletown, NY 10941-4019 2006-08-25
1134180664 Mary Ellen Gaeke Internal Medicine 82 N Breiel Blvd, Middletown, OH 45042-3804 2006-04-02
1750381943 Konan Chiang Internal Medicine 225 Dolson Ave, Suite 301, Middletown, NY 10940-6569 2005-07-28
1295126670 Varun Modi Internal Medicine 707 E Main St, Middletown, NY 10940-2650 2015-02-06
1447684808 John Savooji Internal Medicine 707 E Main St, Middletown, NY 10940-2650 2013-08-21
1811256464 Angela Marcelino Internal Medicine 111 Maltese Dr, Middletown, NY 10940 2012-05-16
1750671228 Ronen Justin Harel Internal Medicine 185 Rykowski Ln, Middletown, NY 10941-4055 2011-04-18
1184930430 Abhishek V Marballi Internal Medicine 155 Crystal Run Rd, Middletown, NY 10941-4028 2010-08-25
1770811077 Hudson Valley Hematology-oncology,pllc Internal Medicine 185 Rykowski Ln, Middletown, NY 10941-4019 2009-11-24
1568649408 Mridula Puchalapalli Reddy Internal Medicine 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 2008-01-23
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Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

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.

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