Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 66995 | CT |
Y | 111NI0900X | Internist | 66995 | CT |
N | 207RG0300X | Geriatric Medicine | 66995 | CT |
NPI | 1104347905 |
---|---|
Provider Name | Karla Tejada Arias |
First Address | New Haven, CT 06513-3733 |
Second Address | New Haven, CT 06513-3733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2017 |
Last Update Date | 09/07/2021 |