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PRIYA TANDON M.D. LLC NPI 1881871770


NPI Information

NPI: 1881871770
Provider Name: PRIYA TANDON M.D. LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
123 BROADWAY ST
COLCHESTER, CT
ZIP 06415
Phone: (860) 537-2309
Get Directions

PRIYA TANDON M.D. LLC is a medical specialty clinic center in Colchester, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PRIYA TANDON M.D. LLC NPI is 1881871770. The provider is registered as an organization entity type.

The provider's business location address is:

123 BROADWAY ST
COLCHESTER, CT
ZIP 06415-022
Phone: (860) 537-2309
Fax: (860) 537-1629

The provider's authorized official is Priya Tandon .
The authorized official title is Internist and has the following contact phone number (860) 537-2309.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 1/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty035115CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G36363MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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