Individual ProviderSoumya BannaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, New Haven, CT 06510-3220(203) 688-4242PECOS EnrollmentBased on the most recent information from CMS, provider Soumya Banna is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1457935421Provider TypeIndividualFull NameBanna, SoumyaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/6/2021Last Updated5/30/2024Contact InformationPractice LocationPractice Address20 York St, New Haven, CT 06510-3220Phone(203) 688-4242FaxUnlisted FaxMailing LocationMailing Address20 York St, New Haven, CT 06510-3220Phone(203) 688-4242FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense77736ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer