Individual
DR. DIVYA MANGALA KESTUR RAJASEKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1185 MAIN ST STE 4, WILLIMANTIC, CT 06226-2093
(860) 423-7558
(860) 423-4694
Mailing address
273 FAIRWAY XING, GLASTONBURY, CT 06033-1465
(469) 487-9988
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
53382
CT
Other
Enumeration date
07/29/2009
Last updated
09/06/2019
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