Individual
DR. RADHIKA JASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 MILL RIVER STREET, SUITE 2200, STAMFORD, CT 06902
(203) 487-6177
(203) 487-6178
Mailing address
80 MILL RIVER STREET, SUITE 2200, STAMFORD, CT 06902
(203) 487-6177
(203) 487-6178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040159
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001401596
—
CT
Enumeration date
08/03/2006
Last updated
07/02/2015
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