Provider Demographics
NPI:1386805299
Name:KALE, SUJATA (MD/PHD/FACP)
Entity type:Individual
Prefix:DR
First Name:SUJATA
Middle Name:
Last Name:KALE
Suffix:
Gender:F
Credentials:MD/PHD/FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 ROBIN CT
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2427
Mailing Address - Country:US
Mailing Address - Phone:203-439-0153
Mailing Address - Fax:203-439-0153
Practice Address - Street 1:411 ROBIN CT
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2427
Practice Address - Country:US
Practice Address - Phone:203-214-2528
Practice Address - Fax:203-214-2528
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051887207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology