Individual
PARVATHY MADHAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
800 CONNECTICUT BLVD, EAST HARTFORD, CT 06108
(860) 679-3245
(860) 679-1217
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8085
(860) 679-3245
(860) 679-1217
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
064299
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2015
Last updated
08/14/2020
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