Individual
DR. PRAKASH N PURANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
546 S BROAD ST, UNIT 2 E, MERIDEN, CT 06450-6600
(203) 237-1054
Mailing address
546 S BROAD ST, UNIT 2 E, MERIDEN, CT 06450-6600
(203) 237-1054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022155
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001221555
—
CT
Enumeration date
04/27/2006
Last updated
01/22/2010
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