Individual
BRINDA EMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4140
(203) 785-3864
Mailing address
PO BOX 208022, TAC S163, NEW HAVEN, CT 06520-8022
(203) 785-4140
(203) 785-3864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A80336
CA
207RI0200X
Infectious Disease Physician
Primary
051493
CT
207RI0200X
Infectious Disease Physician
A80336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A803360
—
CA
Enumeration date
10/11/2006
Last updated
01/02/2013
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