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Contact Information

SANDEEP K JOHAR, DO
500 CHASE PKWY
WATERBURY, CT06708-3346
 Phone: 203-755-6677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SANDEEP K JOHAR · (Male)

NPI # 1174615017
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/29/2006
Last updated 10/29/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 049078
  • FL Medicaid 001421800
  • NY Medicaid 02838200
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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