Individual
DR. SHAJI P POOVATHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HEALTH SCIENCES CENTER L4 #060, STONY BROOK, NY 11794-0001
(631) 444-2975
Mailing address
ANESTHESIA DEPT, HSC L4-060, STONY BROOK, NY 11794
(631) 444-2975
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
233161
NY
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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