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Latha Anekondadha Revakala, PA
Medical Physician Assistant in New Haven, Connecticut
NPI 1336543107

Latha Anekondadha Revakala is a Medical Physician Assistant based in New Haven, CT and is specialized in Medical. Latha Anekondadha Revakala practices in New Haven, CT and has the professional credentials of PA. The NPI Number for Latha Anekondadha Revakala is 1336543107 and holds a License No. 23.003173 (Connecticut).

The current practice location address for Latha Anekondadha Revakala is 20 York St, New Haven, CT and can be reached out via phone at 203-671-3590.

Location: 20 York St, New Haven, CT, 06510-3220
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Provider Profile Details
NPI Number
1336543107
Provider Name
Latha Anekondadha Revakala
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
20 York St, New Haven, CT, 06510-3220
Phone Number
203-671-3590
Fax Number
Provider Enumeration Date
10/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 York St
City
State
Zip
06510-3220
Phone Number
203-671-3590
Fax Number
person
Provider Business Mailing Address Details
Address
20 York St
City
State
Zip
06510-3220
Phone Number
203-671-3590
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
23.003173 (Connecticut)
Definition
Definition to come...
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