Tigadi, Supriya Maruti
Tigadi, Supriya Maruti is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8082. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Tigadi, Supriya Maruti can be contacted via phone (860) 679-3343.Contact Information
Primary practice address
263 Farmington Ave
Farmington CT 06030-8082
Phone: (860) 679-3343
Fax: (860) 679-4256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51029 | Connecticut |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 051029 | Connecticut |
Profile Details
| NPI number | 1932435195 |
|---|---|
| LBN Legal business name | Tigadi, Supriya Maruti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2009 |
| Last updated | Sep 29th, 2022 - about 3 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 | 1932435195 | NPPES |
| Connecticut | Other | 51029 | LICENSE |
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