Individual
KANDIAH SRITHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 WHALLEY AVE, NEW HAVEN, CT 06515-1733
(203) 387-2569
(203) 387-9245
Mailing address
980 WHALLEY AVE, NEW HAVEN, CT 06515-1733
(203) 387-2569
(203) 387-9245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022287
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1222876
—
CT
Enumeration date
11/09/2005
Last updated
09/01/2010
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