Individual
DR. VENKATA PRAVEENA KOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 901, HARTFORD, CT 06106-5501
(860) 244-0148
(860) 493-1852
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301085523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047250
LICENSE
CT
Enumeration date
06/08/2007
Last updated
03/08/2012
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