Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 43012 | CT |
N | 2081P2900X | Pain Medicine | 43012 | CT |
N | 2081S0010X | Sports Medicine | 43012 | CT |
N | 213ES0000X | Sports Medicine | 43012 | CT |
NPI | 1174501175 |
---|---|
Provider Name | Dr. Durgadas P Sakalkale |
First Address | Hamden, CT 06518-3209 |
Second Address | Hamden, CT 06518-3691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 15/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174501175 | (05) | CT |
H84833 | (02) | CT |