Individual
UTTARA KOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2660 MAIN ST STE 216, BRIDGEPORT, CT 06606-5301
(203) 332-1949
Mailing address
2660 MAIN ST STE 216, BRIDGEPORT, CT 06606-5301
(203) 332-1949
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
036157164
IL
2084A2900X
Neurocritical Care Physician
Primary
72454
CT
2084N0400X
Neurology Physician
72454
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
06/12/2023
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