Lavanya Jitendranath M.D.

NPI 1033164363 - Internal Medicine - 207RI0200X

NPI Details
NPI 1033164363
Gender Female
Enumeration Date 05/24/2006
Last Updated 09/28/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
80 S MAIN ST
MIDDLETOWN CT, 06457-3648, US
Phone (860) 358-6878
Fax (860) 358-6412
Business Location
80 S MAIN ST
MIDDLETOWN CT, 06457-3648, US
Phone (860) 358-6878
Fax (860) 358-6412
Toxanomy
Taxonomy Code 207RI0200X
License State Connecticut
License Number 045367
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According to our database, Dr. Lavanya Jitendranath M.D. NPI is 1033164363, taxonomy code is 207RI0200X and license number is 045367, license state is located at Connecticut. Lavanya Jitendranath M.D. physically located at 80 S Main St, Middletown CT, 06457-3648. NPI Number Lavanya Jitendranath M.D. has the Individual type.

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1033164363 NPI number is provided on an as is basis without warranty of any kind. 1033164363 is maintained by the National Plan & Provider Enumeration System. The contents of Lavanya Jitendranath M.D. are for informational purposes only.