| Doctor Name: | KETAN SADARIA |
| NPI Number: | 1083091680 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 006929 |
| Business Practice Address: | 745 Main St East Hartford, CT - 061083115 |
| Business Phone Number: | 8602892791 |
| Business Fax Number: | |
| Mailing Address: | 3 Lafountain Rd, SUFFIELD |
| State: | CT |
| Postal Code: | 060782252 |
| Phone Number: | 8606236527 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2015 |
| NPI Last Update Date: | 05/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 006929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |