Provider Demographics
NPI:1770592081
Name:SARMA, AKELLA SV (MD)
Entity type:Individual
Prefix:DR
First Name:AKELLA
Middle Name:SV
Last Name:SARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:40 HART STREET
Mailing Address - Street 2:BUILDING B
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052
Mailing Address - Country:US
Mailing Address - Phone:860-225-9431
Mailing Address - Fax:860-229-1873
Practice Address - Street 1:40 HART STREET
Practice Address - Street 2:BUILDING B
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052
Practice Address - Country:US
Practice Address - Phone:860-225-9431
Practice Address - Fax:860-229-1873
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0232503208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1232503Medicaid
CT010023250CT01OtherANTHEM
CT078144OtherCT CARE
CT078144OtherCT CARE
CT1232503Medicaid