# VISAVIS HEALTH CARE MEDICAL GROUP OF CT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275225864
- **Authorized official:** REKHA BHANDARI (OWNER)
- **Authorized official phone:** (718) 534-0689

## Contact information

- **Practice address:** 1 EMILY WAY, WEST HARTFORD, CT 06107-3136
- **Practice address phone:** (718) 534-0689
- **Mailing address:** 250 SKILLMAN ST STE 204, BROOKLYN, NY 11205-1218
- **Mailing address phone:** (718) 534-0689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2023
- **Last updated:** 05/23/2023