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
Phone: (860) 659-8904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1740253517 | NPPES |
| Connecticut | Other | 030000070 | MEDICARE ID |
| Connecticut | MEDICAID | 001222066 | MEDICARE ID |
| Connecticut | Other | C00280 | MEDICARE ID |
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