Healthcare Provider Details

I. General information

NPI: 1730535139
Provider Name (Legal Business Name): AMRITA KARAMBELKAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 WOODLAND ST 1ST FLOOR
HARTFORD CT
06105
US

IV. Provider business mailing address

114 WOODLAND ST 1ST FLOOR
HARTFORD CT
06105
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-4055
  • Fax: 860-714-8035
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number82793
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number284646
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number79012
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number1014373
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: