Somanath, Bidarkote
Somanath, Bidarkote is an sole proprietor health care provider with primary practice located at 140 Grandview Ave Suite No 206, Waterbury CT 06708-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Somanath, Bidarkote can be contacted via phone (203) 753-6413.Contact Information
Primary practice address
140 Grandview Ave Suite No 206
Waterbury CT 06708-2505
Phone: (203) 753-6413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 037034 | Connecticut |
Profile Details
| NPI number | 1235131152 |
|---|---|
| LBN Legal business name | Somanath, Bidarkote |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Feb 20th, 2013 - about 11 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 | 1235131152 | NPPES |
| Connecticut | MEDICAID | 001370345 |
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