Individual
ANWESH BABU POOSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7327
Mailing address
802 1ST ST SW APT NO8, ROCHESTER, MN 55902-0308
(703) 231-8936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0100251
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
06/17/2024
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