Individual
SANDEEP KUMAR JOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
049078
CT
207PS0010X
Sports Medicine (Emergency Medicine) Physician
049078
CT
208VP0000X
Pain Medicine Physician
Primary
049078
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421800
—
FL
05
—
02838200
—
NY
Enumeration date
09/29/2006
Last updated
10/29/2025
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