Individual
DR. SUNIL K YERRAGONDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
478 BURNSIDE AVE, EAST HARTFORD, CT 06108-2425
(860) 528-7161
Mailing address
24 PARK PL, APT 25 H, HARTFORD, CT 06106-5008
(732) 330-4057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
50589
CT
207R00000X
Internal Medicine Physician
Primary
50589
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2009
Last updated
10/31/2012
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