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Individual

MADHAVI GORUSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
85 SEYMOUR ST, SUITE 901, HARTFORD, CT 06106-5501
(860) 246-6647
(860) 240-7067
Mailing address
2110 SILAS DEANE HWY, 2ND FL, ROCKY HILL, CT 06067-2313
(860) 258-3480
(860) 571-6800

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
042803
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042803
MEDICAL LICENSE
CT
Enumeration date
07/30/2007
Last updated
03/08/2012
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