Individual
DR. KURUBA B SANTHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 MASONIC AVE, WALLINGFORD, CT 06492-3095
(203) 265-0355
Mailing address
10 FALCON RIDGE RD, ROCKY HILL, CT 06067-1004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024484
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012144
CSR
CT
Enumeration date
11/01/2006
Last updated
03/07/2023
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