Individual
TUSHARA SURAPANENI
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) 688-4242
Mailing address
464 CONGRESS AVE, NEW HAVEN, CT 06519-1361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
78871
CT
Other
Enumeration date
03/30/2020
Last updated
07/09/2024
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