Champakamala Honganur Rajanna M.D.,

NPI 1598044133 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1598044133
Gender Female
Enumeration Date 08/14/2011
Last Updated 06/23/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
189 STORRS RD
MANSFIELD CENTER CT, 06250-1683, US
Phone (646) 685-6671
Fax
Business Location
189 STORRS RD
MANSFIELD CENTER CT, 06250-1683, US
Phone (646) 685-6671
Fax
Toxanomy
Taxonomy Code 390200000X
License State Virginia
License Number 0116024030
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According to our database, Champakamala Honganur Rajanna M.D., NPI is 1598044133, taxonomy code is 390200000X and license number is 0116024030, license state is located at Virginia. Champakamala Honganur Rajanna M.D., physically located at 189 Storrs Rd, Mansfield Center CT, 06250-1683. NPI Number Champakamala Honganur Rajanna M.D., has the Individual type.

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1598044133 NPI number is provided on an as is basis without warranty of any kind. 1598044133 is maintained by the National Plan & Provider Enumeration System. The contents of Champakamala Honganur Rajanna M.D., are for informational purposes only.