Srinivasan, Prasad

Srinivasan, Prasad is an individual health care provider with primary practice located at 131 New London Tpke Ste 101 , Glastonbury CT 06033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Srinivasan, Prasad can be contacted via phone (860) 659-8904.

Contact Information

Primary practice address
131 New London Tpke Ste 101 Glastonbury CT 06033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 022206 Connecticut
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 022206 Connecticut

Profile Details

NPI number 1740253517
LBN Legal business name Srinivasan, Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 15th, 2020 - about 4 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 1740253517 NPPES
Connecticut Other 030000070 MEDICARE ID
Connecticut MEDICAID 001222066 MEDICARE ID
Connecticut Other C00280 MEDICARE ID

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