Individual
PRIYA BAKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
79 WAWECUS ST STE 103, NORWICH, CT 06360-2173
(860) 886-1862
(860) 886-2046
Mailing address
79 WAWECUS ST STE 103, NORWICH, CT 06360-2173
(860) 886-1862
(860) 886-2046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51764
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
51764
CT
207RP1001X
Pulmonary Disease Physician
Primary
51764
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
51764
CT
Other
Enumeration date
06/24/2008
Last updated
11/03/2023
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