Individual
DR. PRASHANTH VALLABHAJOSYULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-5000
Mailing address
330 CEDAR ST, NEW HAVEN, CT 06510-3218
(203) 785-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
225173
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
64282
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD437562
PA
Other
Enumeration date
01/04/2006
Last updated
09/27/2019
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