MEDICARE: DR. NARENDRA TOHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	22173	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356382212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARENDRA TOHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 210
Second Line	:
City	:	UNIONVILLE
State	:	CT
Zip	:	06085-0210
Country	:	US
Telephone Number	:	860-826-5122
Fax Number	:	860-673-6721

Provider Business Practice Location Address
First Line	:	33 LEXINGTON ST
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06052-1446
Country	:	US
Telephone Number	:	860-826-5122
Fax Number	:	860-673-6721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/28/2011

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