Individual
PRAJWAL CHAITANYA BODDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(832) 396-4414
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
74910
CT
Other
Enumeration date
03/24/2013
Last updated
06/20/2023
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