Sujatha Konnanath Palat M.D

NPI 1083617112 - Family Medicine - 207Q00000X

NPI Details
NPI 1083617112
Gender Female
Enumeration Date 05/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1STADIUM RD,STUDENT HEALTH SERVICE, STONYBROOK UNIV
STONY BROOK NY, 11794-3191, US
Phone (631) 632-6740
Fax (631) 632-6936
Business Location
136 NICHOLS RD
NESCONSET NY, 11767-2114, US
Phone (631) 724-3155
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 227146
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According to our database, Dr. Sujatha Konnanath Palat M.D NPI is 1083617112, taxonomy code is 207Q00000X and license number is 227146, license state is located at New York. Sujatha Konnanath Palat M.D physically located at 1stadium Rd,student Health Service, Stonybrook Univ, Stony Brook NY, 11794-3191. NPI Number Sujatha Konnanath Palat M.D has the Individual type.

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1083617112 NPI number is provided on an as is basis without warranty of any kind. 1083617112 is maintained by the National Plan & Provider Enumeration System. The contents of Sujatha Konnanath Palat M.D are for informational purposes only.