Individual
DR. INDIRA PANTHAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6581
(860) 714-8311
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
044750
CT
208000000X
Pediatrics Physician
Primary
44750
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
44750
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
NONE
NY
Other
Enumeration date
08/18/2006
Last updated
07/30/2013
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