Individual
BHAVANI NAGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111
(860) 666-6951
(860) 667-6875
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
(860) 667-6875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051722L
PA
Other
Enumeration date
10/02/2006
Last updated
07/27/2015
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