Healthcare Provider Details

I. General information

NPI: 1114854676
Provider Name (Legal Business Name): PRANAY MARLECHA MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. FRANCIS HOSPITAL GENGRAS AMBULATORY CARE SERVICES 1000 ASYLUM AVENUE, SUITE 1004
HARTFORD CT
06105
US

IV. Provider business mailing address

263 FARMINGTON AVENUE
FARMINGTON CT
06105-1921
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-4532
  • Fax:
Mailing address:
  • Phone: 860-679-2147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: