Pendyala, Sujata

Pendyala, Sujata is an individual health care provider with primary practice located at 761 Main Ave Suite 100, Norwalk CT 06851-1178. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Pendyala, Sujata can be contacted via phone (203) 644-1100.

Contact Information

Primary practice address
761 Main Ave Suite 100 Norwalk CT 06851-1178
Phone: (203) 644-1100
Fax: (203) 644-1111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 231656-1 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 045875 Connecticut

Profile Details

NPI number 1114009842
LBN Legal business name Pendyala, Sujata
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114009842 NPPES
New York Other 231656-1 LICENSE

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