Provider Demographics
NPI:1053356519
Name:TOLAT, ANEESH (MD)
Entity type:Individual
Prefix:DR
First Name:ANEESH
Middle Name:
Last Name:TOLAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ASYLUM AVE
Mailing Address - Street 2:SUITE 3206
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1770
Mailing Address - Country:US
Mailing Address - Phone:860-714-7977
Mailing Address - Fax:860-714-9993
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:SUITE 3206
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1770
Practice Address - Country:US
Practice Address - Phone:860-714-7977
Practice Address - Fax:860-714-9993
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043453207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1073834OtherAETNA HEALTH PLANS
P3624632OtherOXFORD HEALTH PLANS
2447920OtherUNITED HEALTHCARE
2V6834OtherHEALTHNET
P00257190OtherRAILROAD MEDICARE
010043453CT01OtherBLUE CROSS & BLUE SHILED
CT001434539Medicaid
043453OtherCONNECTICARE
1614909OtherCIGNA HEALTH PLANS
P3624632OtherOXFORD HEALTH PLANS
061561721OtherTIN
1614909OtherCIGNA HEALTH PLANS