Individual
DR. GOWTHAMAN GUNABUSHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 CEDAR ST # 208042, YALE UNIVERSITY DIAGNOSTIC RADIOLOGY, NEW HAVEN, CT 06510-3206
(203) 506-1275
(203) 785-3061
Mailing address
333 CEDAR ST # 208042, YALE UNIVERSITY DIAGNOSTIC RADIOLOGY, NEW HAVEN, CT 06510-3206
(203) 506-1275
(203) 785-3061
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
046695
CT
2085R0204X
Vascular & Interventional Radiology Physician
046695
CT
Other
Enumeration date
04/30/2008
Last updated
11/03/2012
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