Individual
DR. MADHU SIDDAVEERE GOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 WESTERMAN AVE, SEYMOUR, CT 06483-3320
(203) 888-9340
(203) 888-9649
Mailing address
63 FARM HILL RD, ORANGE, CT 06477-2335
(203) 888-9340
(203) 888-9649
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
034989
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01349895
—
CT
Enumeration date
07/04/2006
Last updated
07/08/2007
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