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Individual

SAMARTHARADHYA IYANALLI SRISHAILARADHYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
34 MAPLE ST, NORWALK, CT 06850
(203) 852-2000
Mailing address
529 E 235TH ST APT 5F, BRONX, NY 10470-2438
(929) 249-8255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61185
CT

Other

Enumeration date
09/18/2015
Last updated
06/03/2018
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