Individual
JYOTHI THENTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52309
CT
208M00000X
Hospitalist Physician
Primary
52309
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2010
Last updated
11/27/2013
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