Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AYAZ T MADRASWALLA, MD
ActiveAYAZ T MADRASWALLA, MD is a Addiction Medicine (Family Practice) healthcare provider located in PUTNAM, Connecticut. NPI 1902899859 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · PUTNAM, CT
Registration Details
- NPI Number
- 1902899859
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2005 (20.962409507103 yrs)
- Last Updated
- Jan 22, 2020
- Licenses
-
34327 (CT)034327 (CT)
Practice Information
- Address
-
391 POMFRET STPUTNAM, CT, 062601852Browse CT providers · Browse ZIP 06260
- Phone
- 8607315522
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.