Organization Active NPI

Sang and Sridhar Digestive Disease Consultants LLC

  • Gastroenterology Physician
  • Norwich, CT
National Provider Identifier
1316280803
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SANG AND SRIDHAR DIGESTIVE DISEASE CONSULTANTS LLC
Practice address
79 Wawecus St
Suite 102
Norwich, CT 06360-2160
Phone
(860) 859-9061
Fax
(860) 889-6200
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. You Sung Sang, M.D
Title
Member
Phone
(860) 859-9061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

79 Wawecus St
Suite 102
Norwich, CT 06360-2160

Mailing address

79 Wawecus St
Suite 102
Norwich, CT 06360-2160
Phone (860) 859-9061

National Provider Directory

National Provider Directory

Locations

79 Wawecus St
Ste 102
Norwich, CT 06360
Phone (860) 204-9735

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1316280803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST",
            "address_2": "SUITE 102",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602160",
            "telephone_number": "860-859-9061",
            "fax_number": "860-889-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST",
            "address_2": "SUITE 102",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602160",
            "telephone_number": "860-859-9061",
            "fax_number": "860-889-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG AND SRIDHAR DIGESTIVE DISEASE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "SANG",
        "authorized_official_first_name": "YOU SUNG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-859-9061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.