Individual
PADMALATHA GURRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4595
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4595
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA08134800
NJ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
48461
CT
Other
Enumeration date
10/03/2006
Last updated
09/03/2015
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