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Individual

DR. SAILAJA PUTTAGUNTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-6000
Mailing address
39 BUELL HILL RD, KILLINGWORTH, CT 06419-1315
(860) 661-0634

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036200
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001362003
CT
01
010036200CT02
ANTHEM BCBS CT
CT
01
036200
CONNECTICARE
CT
01
190433
WELLCARE
CT
01
22-98866
AMERICHOICE
CT
01
3V2508
HEALTHNET/COMMERCIAL
CT
01
7524439
AETNA
CT
01
890656
USA
CT
01
P2836618
OXFORD
CT
Enumeration date
04/07/2007
Last updated
07/17/2014
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