Individual
VARSHITHA PRAKASH RAO THANIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
197 DIXWELL AVE, NEW HAVEN, CT 06511-3415
(203) 503-3000
Mailing address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68196
CT
Other
Enumeration date
05/01/2018
Last updated
07/19/2024
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