Provider Demographics
NPI:1043308760
Name:GONSAI, KISHORCHANDRA R (MD)
Entity type:Individual
Prefix:DR
First Name:KISHORCHANDRA
Middle Name:R
Last Name:GONSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1749
Mailing Address - Country:US
Mailing Address - Phone:203-248-7347
Mailing Address - Fax:203-248-7347
Practice Address - Street 1:950 CAMPBELL AVE
Practice Address - Street 2:BULDING # 36
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2770
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-3478
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0367722084P0802X, 2084A0401X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry