Individual
MAYA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST # T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
Mailing address
20 YORK ST # T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
48673
CT
2084P0800X
Psychiatry Physician
Primary
48673
CT
Other
Enumeration date
01/29/2008
Last updated
08/27/2012
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