Active NPIIndividual provider

Kevin O Dieckhaus, MD

Internal Medicine, Infectious Disease in Farmington, Connecticut

NPI Number1316942378
Practice location
263 Farmington Ave, Farmington, CT 06030-0001
Fax
860-679-1217
Last updated
September 20, 2022

Kevin O Dieckhaus is an Internal Medicine, Infectious Disease based in Farmington, CT. Kevin O Dieckhaus practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Kevin O Dieckhaus is 1316942378 and holds a License No. 035297 (CT). The current practice location address for Kevin O Dieckhaus is 263 Farmington Ave, Farmington, CT 06030-0001 and can be reached out via phone at 860-679-4225 and via fax at 860-679-1217.

Provider Profile Details

NPI Number
1316942378
Provider Name
Kevin O Dieckhaus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT 06030-0001
Phone Number
860-679-4225
Fax Number
860-679-1217
Primary Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2005
Last Update Date
September 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave
Farmington, CT 06030-0001
Zip
06030-0001
Phone Number
860-679-4225
Fax Number
860-679-1217
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
City
Farmington
State
CT
Zip
06030-2212
Phone Number
860-679-7503
Fax Number
860-679-1610

License Information

License Number
035297
License State
CT
Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin O Dieckhaus, MD?

The NPI number of Kevin O Dieckhaus, MD is 1316942378. It was assigned on June 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Kevin O Dieckhaus, MD?

Kevin O Dieckhaus, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in CT under license number 035297.

Where does Kevin O Dieckhaus, MD practice?

The practice location is 263 Farmington Ave, Farmington, CT 06030-0001. The office can be reached at 860-679-4225 (phone) or 860-679-1217 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316942378 directly on the NPPES registry website.

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