Suhradam Medical

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

049253 Issued in CT

Legal business name

SUHRADAM MEDICAL

Practice address

50 Toll Gate Rd
Berlin, CT 06037-3606

Phone

(860) 438-6004

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brimal Babubhai Patel, M.D

Title

Ceo

Phone

(860) 438-6004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1316397755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOLL GATE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TOLL GATE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373606",
            "telephone_number": "860-438-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHRADAM MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BRIMAL",
        "authorized_official_middle_name": "BABUBHAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-438-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "049253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Staiger, M.D.
• Starling Physicians, PLLC
• Stop and Shop Supermarket Co LLC
• Nurjhan Strachan-Spence, LMFT
• Teo-Carlo Straun, M.D.
• Suhradam Medical Practice, LLC
• Sullivan Counseling and Wellness, LLC
• Catherine S. Sullivan, LCSW
• Lynn Swanson, APRN
• Janet K Szymanski, RPH

• Urgent Care Clinic/Center in Berlin, CT
• Providers in Berlin, CT by specialty
• Urgent Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.