Individual
SHANTHI MOGALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(800) 362-5229
Mailing address
187 S CANAAN RD, CANAAN, CT 06018-2544
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
251965
NY
2084P0802X
Addiction Psychiatry Physician
261192
MA
2084P0802X
Addiction Psychiatry Physician
Primary
53341
CT
Other
Enumeration date
01/11/2008
Last updated
12/08/2016
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