Provider Demographics
NPI:1902007438
Name:JOHAR, ARCHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARCHNA
Middle Name:
Last Name:JOHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARCHNA
Other - Middle Name:
Other - Last Name:PRASAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:69 SAND PIT RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4004
Mailing Address - Country:US
Mailing Address - Phone:203-791-2020
Mailing Address - Fax:203-778-6238
Practice Address - Street 1:166 WATERBURY RD STE 201
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:CT
Practice Address - Zip Code:06712-1247
Practice Address - Country:US
Practice Address - Phone:203-791-2020
Practice Address - Fax:203-758-7400
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT048718207W00000X, 207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001148800Medicaid
BW564ZMedicare PIN