Kosarussavadi, Boonsri
Kosarussavadi, Boonsri is an individual health care provider with primary practice located at 20 York St Yale New Haven Hospital, New Haven CT 06510-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kosarussavadi, Boonsri can be contacted via phone (203) 785-2802.Contact Information
Primary practice address
20 York St Yale New Haven Hospital
New Haven CT 06510-3220
Phone: (203) 785-2802
Fax: (203) 785-6664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 016869 | Connecticut |
Profile Details
| NPI number | 1639151384 |
|---|---|
| LBN Legal business name | Kosarussavadi, Boonsri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Aug 4th, 2008 - about 18 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 | 1639151384 | NPPES |
| Connecticut | MEDICAID | 001168699 |
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