Provider Demographics
NPI:1366490013
Name:MARHATTA, ASHA (MD; MPH)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:
Last Name:MARHATTA
Suffix:
Gender:F
Credentials:MD; MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 NORTH STREET
Mailing Address - Street 2:SUITE 311
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2854
Mailing Address - Country:US
Mailing Address - Phone:203-743-0100
Mailing Address - Fax:203-794-1851
Practice Address - Street 1:57 NORTH ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5660
Practice Address - Country:US
Practice Address - Phone:203-743-0100
Practice Address - Fax:203-794-1851
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine