NPI 1346558350

Viswa Nathan MD LLC

Organisation Preferred Provider Organization New Haven, CT

Practice location

Address: 136 Sherman Ave Suite 308, New Haven, CT 06511-5238
Phone: (203) 946-3000
Fax: (203) 946-3006

Authorised official

Name: Viswa Nathan
Title: Owner
Phone: (203) 946-3000

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 022726 (CT)

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Registry record

NPI: 1346558350
Entity type: Organization
NPI issued: 24 Sep 2010
Record last updated: 9 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.