Sacha Agrawal, M.D.

Individual provider Active NPI Psychiatry Physician · New Haven, CT

NPI 1942583133 · NPPES record last updated Sep 23, 2011

Key facts

NPI
1942583133
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
49564 (CT)
Practice address
623 Whitney Avenue, Apt. 1
New Haven, CT 06511
Phone
(203) 444-8154
NPI assigned
Sep 23, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49564CTMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 49564 CT Yes

Addresses

Primary practice location

623 Whitney Avenue, Apt. 1
New Haven, CT 06511

Mailing address

34 Park Street
CMHC
New Haven, CT 06508

Other providers in New Haven, CT

All providers in New Haven, CT · Psychiatry Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.