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Provider Information for 1437120821


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Dr. SURITA RAO MD


Sex: Female

NPI: 1437120821
Last Updated: 2022-09-26
Certification Date:

Details

NameValue
NPI1437120821
Enumeration Date2006-02-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address UCONN MEDICAL GROUP
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-0001
United States

Phone: 860-679-6700 | Fax:860-679-6736
 
Primary Practice Address UCONN MEDICAL GROUP
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-0001
United States

Phone: 860-679-6700 | Fax:860-679-6736
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
srao10952@direct.med.uchc.edu
Uconn Medical Group
Farmington, CT 06030-0001
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 2084P0800X - Psychiatry & Neurology - PsychiatryCT033690