Individual
DR. BINAYAK PRASAD KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6 FIELDSTONE CMNS, SUITE D, TOLLAND, CT 06084-3419
(860) 875-2099
(860) 872-3021
Mailing address
6 FIELDSTONE CMNS, SUITE D, TOLLAND, CT 06084-3419
(860) 875-2099
(860) 872-3021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052870
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2720
LAST FOUR NPI
CT
Enumeration date
07/05/2010
Last updated
06/10/2014
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