Individual
VISWA B NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-4388
(230) 946-3000
(203) 946-3006
Mailing address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-4388
(230) 946-3000
(203) 946-3006
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
022728
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001227263
—
CT
Enumeration date
11/16/2005
Last updated
05/15/2015
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