Individual
LAKSHMI P MAGAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 WOODLAND ST, SUITE 31, HARTFORD, CT 06105-2372
(860) 728-1212
Mailing address
19 WOODLAND ST, SUITE 31, HARTFORD, CT 06105-2372
(860) 728-1212
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CT STATE LICENSE
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538397559
—
CT
Enumeration date
06/29/2009
Last updated
08/27/2014
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