| |
136 Sherman Ave Ste 503, New Haven, CT 06511-5210 | |
(203) 691-9052 | |
(475) 238-8029 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Podiatric |
Location | 136 Sherman Ave Ste 503, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700313814 | NPI | - | NPPES |
632745 | Other | CT | CONNECTICARE |
004270998 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
261QP1100X | Clinic/center - Podiatric | 000817 (Connecticut) | Primary |
Provider Name | Aparna S Chauhan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1417990136 PECOS PAC ID: 3779514245 Enrollment ID: I20070220000646 |
Mailing Address | Practice Location Address |
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136 Sherman Ave Ste 503, New Haven, CT 06511-5210 Ph: (203) 691-9052 | 136 Sherman Ave Ste 503, New Haven, CT 06511-5210 Ph: (203) 691-9052 |