Individual
SHEILA SANTHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(608) 224-5305
Mailing address
1290 SILAS DEANE HIGHWAY, HARTFORD HEALTHCARE CVO PROVIDER ENROLLMENT, WETHERSFIELD, CT 06109-4337
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
63748
CT
2084N0400X
Neurology Physician
MD60342170
WA
2084N0400X
Neurology Physician
ME117068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009649700
—
FL
01
—
14RC5
BCBS
FL
01
—
3522839
CIGNA
FL
01
—
4947399
AETNA
FL
01
—
P01224659
RAILROAD MEDICARE
FL
Enumeration date
07/12/2007
Last updated
05/17/2022
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