Individual
MRS. SUJATA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 ASYLUM AVE, STE 1004, HARTFORD, CT 06105-1770
(860) 714-4532
(860) 714-8275
Mailing address
1423 CHAPEL ST, STE 1B, NEW HAVEN, CT 06511-4411
(203) 891-7134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028966
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001289661
—
CT
Enumeration date
06/01/2005
Last updated
05/05/2017
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