Prasad, Sujata

Prasad, Sujata is an individual health care provider with primary practice located at 1000 Asylum Ave Ste 1004, Hartford CT 06105-1770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Prasad, Sujata can be contacted via phone (860) 714-4532.

Contact Information

Primary practice address
1000 Asylum Ave Ste 1004 Hartford CT 06105-1770
Phone: (860) 714-4532
Fax: (860) 714-8275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 028966 Connecticut

Profile Details

NPI number 1366444671
LBN Legal business name Prasad, Sujata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 5th, 2017 - about 7 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 1366444671 NPPES
Connecticut MEDICAID 001289661

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