Individual
SUSHMA RAMPRASAD RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 852-2280
(203) 899-5028
Mailing address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 852-2280
(203) 899-5028
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
53133
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770853319
—
CT
Enumeration date
01/12/2012
Last updated
07/02/2019
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