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Contact Information

WAJIH Z KIDWAI, MD
111 GOOSE LANE
SUITE 1300
GUILFORD, CT06437
 Phone: 203-453-9192
 Fax: 203-453-0875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WAJIH Z KIDWAI · (Male)

NPI Number 1376579946
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2006
Last updated 01/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 031863
  • CT Medicaid 001318634
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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