Individual
KETEVANI KHETSURIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
64 ROBBINS STREET, WATERBURY HOSPITAL, WATERBURY, CT 06708
(203) 573-6162
(203) 573-6707
Mailing address
64 ROBBINS STREET, WATERBURY HOSPITAL, WATERBURY, CT 06708
(203) 573-6162
(203) 573-6707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
09/12/2025
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