Individual
KAUSHAR DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
CLINIC #459, 2639 MAIN ST, GLASTONBURY, CT 06033
(860) 659-1329
Mailing address
CLINIC #459, 2639 MAIN ST, GLASTONBURY, CT 06033
(860) 659-1329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F10200328
CT
363LF0000X
Family Nurse Practitioner
Primary
9333
CT
Other
Enumeration date
10/15/2020
Last updated
03/08/2021
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