Provider Information for 1437120821
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Dr. SURITA RAO MD
Sex: Female
NPI: 1437120821
Last Updated: 2022-09-26
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||
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NPI | 1437120821 | ||||||||||||||
Enumeration Date | 2006-02-01 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
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 | ||||||||||||||
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