Provider Demographics
NPI:1083741441
Name:DHARMARAJAN, KUMAR (MD, MBA)
Entity Type:Individual
Prefix:
First Name:KUMAR
Middle Name:
Last Name:DHARMARAJAN
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHURCH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3330
Mailing Address - Country:US
Mailing Address - Phone:917-952-5162
Mailing Address - Fax:203-764-5653
Practice Address - Street 1:1 CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3330
Practice Address - Country:US
Practice Address - Phone:917-952-5162
Practice Address - Fax:203-764-5653
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257697207R00000X
CT52900207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine