Individual
BABU RAM KHATIWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BURBAN DR, BRANFORD, CT 06405-4003
(203) 825-5964
Mailing address
109 BURBAN DR, BRANFORD, CT 06405-4003
(203) 824-7959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16836
CT
Other
Enumeration date
04/29/2025
Last updated
06/14/2026
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