Individual
DR. JAYASHREE VENKATESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
893 MAIN ST, SUITE 303, EAST HARTFORD, CT 06108-2292
(860) 289-3047
(860) 528-4735
Mailing address
893 MAIN ST, SUITE 303, EAST HARTFORD, CT 06108-2292
(860) 289-3047
(860) 528-4735
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
034733
CT
Other
Enumeration date
06/15/2009
Last updated
06/14/2013
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