Provider Demographics
NPI:1568496552
Name:CHHABRA, SUNITA (MD)
Entity Type:Individual
Prefix:
First Name:SUNITA
Middle Name:
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-0636
Mailing Address - Country:US
Mailing Address - Phone:203-535-0262
Mailing Address - Fax:203-535-0374
Practice Address - Street 1:2080 WHITNEY AVE STE 250
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3606
Practice Address - Country:US
Practice Address - Phone:203-535-0262
Practice Address - Fax:203-535-0374
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043404207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTH11659Medicare UPIN
CT110009833Medicare ID - Type Unspecified