Individual
MR. RAHUL POTTABATHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
160 ROBBINS STREET CHASE OUTPATIENT CENTER, WATERBURY, CT 06708
(203) 573-7284
(203) 573-7031
Mailing address
64 ROBBINS STREET, WATERBURY HOSPITAL, WATEBURY, CT 06708
(203) 573-6162
(203) 357-6707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
82095
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/25/2025
Last updated
08/20/2025
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