Active NPIIndividual provider

Nicole Sookhan, MD

Surgery in Waterbury, Connecticut

NPI Number1629262712
Practice location
3801 E Main St, Waterbury, CT 06705-3815
Fax
203-709-5293
Last updated
January 26, 2021

Nicole Sookhan is a Surgery based in Waterbury, CT. Nicole Sookhan practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Nicole Sookhan is 1629262712 and holds a License No. 46263 (CT). The current practice location address for Nicole Sookhan is 3801 E Main St, Waterbury, CT 06705-3815 and can be reached out via phone at 203-709-4001 and via fax at 203-709-5293.

Provider Profile Details

NPI Number
1629262712
Provider Name
Nicole Sookhan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3801 E Main St, Waterbury, CT 06705-3815
Phone Number
203-709-4001
Fax Number
203-709-5293
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2007
Last Update Date
January 26, 2021
Certification Date
January 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3801 E Main St
Waterbury, CT 06705-3815
Zip
06705-3815
Phone Number
203-709-4001
Fax Number
203-709-5293
Waterbury, CT 06705Get directions →

Provider Business Mailing Address Details

Address
3801 E Main St
Waterbury, CT 06705-3815
City
Waterbury
State
CT
Zip
06705-3815
Phone Number
203-709-4001
Fax Number
203-709-5293

License Information

License Number
46263
License State
CT
Taxonomy
Surgery · 208600000X · 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 Nicole Sookhan, MD?

The NPI number of Nicole Sookhan, MD is 1629262712. It was assigned on August 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Nicole Sookhan, MD?

Nicole Sookhan, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in CT under license number 46263.

Where does Nicole Sookhan, MD practice?

The practice location is 3801 E Main St, Waterbury, CT 06705-3815. The office can be reached at 203-709-4001 (phone) or 203-709-5293 (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 1629262712 directly on the NPPES registry website.

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