Individual provider · Type 1 NPI

Ajay Sridhar Nathan, MD, MS

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1962197236 Active

Practice location

263 Farmington Avenue
Farmington, CT 06030-8083

Call (860) 679-6522 Map

Fax (860) 679-8892

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962197236

Ajay Sridhar Nathan, MD, MS's National Provider Identifier is 1962197236, issued on Apr 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Apr 11, 2023.