Individual
AJAY MOHAN TUNGUTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-6823
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-3621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241708
MA
2084N0400X
Neurology Physician
060.0004408
VT
2084V0102X
Vascular Neurology Physician
Primary
64055
CT
Other
Enumeration date
07/03/2010
Last updated
07/03/2024
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