NPI 1790217057 · live from the CMS NPI Registry
Sonali Bhalodkar, M.D.
Pediatrics, Pediatric Emergency Medicine in New Haven, CT. National Provider Identifier 1790217057, active.
NPI record
| NPI | 1790217057 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 100 York St Ste 10, New Haven, CT 06511 |
| Enumerated | March 28, 2017 |
| Last updated | June 6, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 69611 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.