Individual
DR. MOHAN KASARANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GREAT MEADOW RD, SUITE 208, WETHERSFIELD, CT 06109-2355
(860) 563-0700
(860) 563-0741
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26703
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267038
—
CT
Enumeration date
07/02/2006
Last updated
03/06/2015
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