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Contact Information

RAGHURAMAN R VIDHUN, MD
455 CHASE PKWY
WATERBURY, CT06708-3352
 Phone: 203-573-1435
 Fax: 203-755-7433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAGHURAMAN R VIDHUN · (Male)

NPI Number 1578680062
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2007
Last updated 03/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 045393
  • NY License # 236091
  • CT Medicaid 001453935
  • CT Medicaid 1578680062
  • CT Other 7946957 AETNA
  • CT Other 27-87690 AMERICHOICE
  • CT Other 010045393CT02 ANTHEM BCBS CT
  • CT Other 045393-7359 CONNECTICARE
  • CT Other 3V1106 HEALTHNET/COMMERCIAL
  • CT Other PENDING RR MEDICARE
  • CT Other 27-87690 UHC
  • CT Other 407405 WELLCARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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