Active NPIIndividual provider

Uttam K Banik, PA-C

Physician Assistant in Hartford, Connecticut

NPI Number1619918554
Practice location
114 Woodland St, Hartford, CT 06105-1208
Fax
860-714-8263
Last updated
September 10, 2013

Uttam K Banik is a Physician Assistant based in Hartford, CT. Uttam K Banik practices in Hartford, CT and has the professional credentials of PA-C. The NPI Number for Uttam K Banik is 1619918554 and holds a License No. 010020 (NY). The current practice location address for Uttam K Banik is 114 Woodland St, Hartford, CT 06105-1208 and can be reached out via phone at 860-714-4088 and via fax at 860-714-8263.

Provider Profile Details

NPI Number
1619918554
Provider Name
Uttam K Banik
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
114 Woodland St, Hartford, CT 06105-1208
Phone Number
860-714-4088
Fax Number
860-714-8263
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2006
Last Update Date
September 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Woodland St
Hartford, CT 06105-1208
Zip
06105-1208
Phone Number
860-714-4088
Fax Number
860-714-8263
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
114 Woodland St
Hartford, CT 06105-1208
City
Hartford
State
CT
Zip
06105-1208
Phone Number
860-714-4088
Fax Number
860-714-8263

License Information

License Number (1)
010020
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
001766
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Uttam K Banik, PA-C?

The NPI number of Uttam K Banik, PA-C is 1619918554. It was assigned on June 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Uttam K Banik, PA-C?

Uttam K Banik, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 010020.

Where does Uttam K Banik, PA-C practice?

The practice location is 114 Woodland St, Hartford, CT 06105-1208. The office can be reached at 860-714-4088 (phone) or 860-714-8263 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619918554 directly on the NPPES registry website.

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