Individual
KIRITHIKA MOHANATHAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
471 BARNUM AVE, BRIDGEPORT, CT 06608
(203) 333-3030
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-3030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56769
CT
Other
Enumeration date
07/27/2015
Last updated
07/06/2018
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