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Individual

DR. DEVENDRA KC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HARTFORD HOSPITAL CVO PROVIDER ENROLLMENT, 80 SEYMOUR STREET, HARTFORD, CT 06102-8000
(860) 972-3495
Mailing address
85 RETREAT AVE, HARTFORD, CT 06106-2555

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51460
CO
207R00000X
Internal Medicine Physician
R1972
TX
207RX0202X
Medical Oncology Physician
Primary
64971
CT
208M00000X
Hospitalist Physician
R1972
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20172877
CO
Enumeration date
08/20/2009
Last updated
06/28/2020
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