| Prakash Huded & Sumangala Huded Ptr | |
|
78 Marlborough St Portland CT 06480-4801 | |
| (860) 342-4800 | |
| (860) 342-3298 |
| Full Name | Prakash Huded & Sumangala Huded Ptr |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 78 Marlborough St, Portland, Connecticut |
| Authorized Official Name and Position | Sumangala Huded (PHYSICIAN/PARTNER) |
| Authorized Official Contact | 8603424800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash Huded & Sumangala Huded Ptr 78 Marlborough St Portland CT 06480-4801 Ph: (860) 342-4800 | Prakash Huded & Sumangala Huded Ptr 78 Marlborough St Portland CT 06480-4801 Ph: (860) 342-4800 |
| NPI Number | 1033329768 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033329768 | NPI | - | NPPES |
| C14749 | Other | CT | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
Middlesex Hospital Dba Family Practice Group Portland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Main St, Portland, CT 06480 Phone: 860-344-6394 Fax: 860-344-6748 |