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Individual

HARISH GUNDLURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 CHAPEL ST., NEW HAVEN, CT 06511
(203) 789-4044
(203) 789-3007
Mailing address
1450 CHAPEL ST., NEW HAVEN, CT 06511
(203) 789-4044
(203) 789-3007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037815
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001378159
CT
Enumeration date
09/07/2006
Last updated
02/08/2011
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