Individual
JAYALAKSHMI VENKATESWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7855
(203) 731-5343
Mailing address
17766 NE 90TH ST APT R285, REDMOND, WA 98052-6989
(623) 499-1468
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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