Puranik, Prakash N
Puranik, Prakash N is an sole proprietor health care provider with primary practice located at 546 S Broad St Unit 2 E, Meriden CT 06450-6600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Puranik, Prakash N can be contacted via phone (203) 237-1054.Contact Information
Primary practice address
546 S Broad St Unit 2 E
Meriden CT 06450-6600
Phone: (203) 237-1054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 022155 | Connecticut |
Profile Details
| NPI number | 1164489860 |
|---|---|
| LBN Legal business name | Puranik, Prakash N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jan 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164489860 | NPPES |
| Connecticut | MEDICAID | 001221555 |
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