Individual
CHATRAM MAHABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
88 NORWICH NEW LONDON TPKE STE 2, UNCASVILLE, CT 06382-2518
(860) 477-7072
Mailing address
88 NORWICH NEW LONDON TPKE STE 2, UNCASVILLE, CT 06382-2518
(860) 477-7072
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
12185
CT
363LF0000X
Family Nurse Practitioner
Primary
12185
CT
Other
Enumeration date
07/21/2023
Last updated
08/03/2023
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