Individual
DR. SRI SMITHA KANAPARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, TMP 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Mailing address
333 CEDAR ST, TMP 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT 193310
PA
207L00000X
Anesthesiology Physician
55978
CT
207LP3000X
Pediatric Anesthesiology Physician
Primary
55978
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28853
OKLAHOMA MEDICAL LICENSE
OK
01
—
55978
CT MEDICAL LICENSE
CT
01
—
MT 193310
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
10/15/2008
Last updated
01/04/2017
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