Individual
AVINASH PRASAD TANTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 PORTER ST, LAKEVILLE, CT 06039
(860) 435-0072
Mailing address
31 PORTER ST, PO BOX 548, LAKEVILLE, CT 06039
(860) 435-0072
(860) 435-9831
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
045161
CT
Other
Enumeration date
01/08/2007
Last updated
12/02/2016
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