Individual
DR. PRASANNA J ANANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
35 PARK ST, NEW HAVEN, CT 06519-1110
(203) 785-4081
Mailing address
333 CEDAR ST # 2082C, NEW HAVEN, CT 06510-3206
(203) 785-3562
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
56996
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56996
CT STATE LICENSE
CT
Enumeration date
06/23/2008
Last updated
12/08/2017
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