Organization
RADHIKA JASTHI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADHIKA JASTHI (MD)
(203) 487-6177
Entity
Organization
Contact information
Practice address
80 MILL RIVER ST, 2200, STAMFORD, CT 06902-3733
(203) 487-6177
(203) 487-6178
Mailing address
80 MILL RIVER ST, 2200, STAMFORD, CT 06902-3733
(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
08/25/2006
Last updated
05/30/2017
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