Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L-255585 | MA |
N | 111NI0900X | Internist | L-255585 | MA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 65449 | CT |
Y | 207RC0000X | Internist - Cardiovascular Disease | 65449 | CT |
NPI | 1417394677 |
---|---|
Provider Name | Dr. Sounok Sen |
First Address | New Haven, CT 06520 |
Second Address | New Haven, CT 06519-1304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2013 |
Last Update Date | 10/06/2020 |