D'Mello, Suresh Cec Il

D'Mello, Suresh Cec Il is an individual health care provider with primary practice located at 19 Halls Rd , Old Lyme CT 06371-1457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. D'Mello, Suresh Cec Il can be contacted via phone (860) 434-8300.

Contact Information

Primary practice address
19 Halls Rd Old Lyme CT 06371-1457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 033565 Connecticut

Profile Details

NPI number 1144387838
LBN Legal business name D'Mello, Suresh Cec Il
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Nov 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144387838 NPPES
Connecticut MEDICAID 001335654

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