Individual
DR. PRASAD S SUREDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MAIN ST S, STE 3, SOUTHBURY, CT 06488-2260
(203) 757-2772
(203) 757-5933
Mailing address
10 MAIN ST S, STE 3, SOUTHBURY, CT 06488-2260
(203) 757-2772
(203) 757-5933
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
024062
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002406201
ANTHEM
CT
Enumeration date
06/16/2006
Last updated
01/29/2018
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