Most Relevant Information
Provider Data
| NPI Number: | 1003349960 |
| Provider Name: | NISHA DHANABALSAMY MBBS |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | BP10060606 |
Most Important Dates
| Enumeration Date: | 04/07/2017 |
| Last Updated: | 07/25/2023 |
Provider Practice Location
80 SEYMOUR ST
HARTFORD
CT
061028000
Practice Location Phone/Fax
| Phone: | 8609720549 |
| Fax: |
Provider Mailing Location
80 SEYMOUR ST
HARTFORD
CT
061028000
Provider Mailing Phone/Fax
| Phone: | 8609720549 |
| Fax: |
Suggested EMR
Internist EMR