Individual
KANAN PATADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
65 STEPHANIES WAY, MANCHESTER, CT 06040-4570
(860) 805-3892
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
111553
CT
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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