Provider Demographics
NPI:1871589242
Name:KAYE, ALAN (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:KAYE
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 1:3 ENTERPRISE DR
Mailing Address - Street 2:STE 220
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4694
Mailing Address - Country:US
Mailing Address - Phone:603-890-4404
Mailing Address - Fax:603-893-8886
Practice Address - Street 1:267 GRANT ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2805
Practice Address - Country:US
Practice Address - Phone:203-384-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0246242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001246248P2OtherBLUE CARE FAMILY PLAN
CT2069098OtherUNITED HEALTHCARE
CT0086989OtherAETNA CT
CTANC1162OtherOXFORD HEALTH PLANS
CT001246248Medicaid
CT300124897OtherRAILROAD MEDICARE
CT061613357OtherCIGNA CT
CT500HBX051CT01OtherBCBS CT
CTOV9113OtherHEALTH NET
CT001246248Medicaid
CTOV9113OtherHEALTH NET