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Divya Radhika Ganugapati, MD
Student in an Organized Health Care Education/Training Program in Trumbull, Connecticut
NPI 1962198010

Divya Radhika Ganugapati is a Student in an Organized Health Care Education/Training Program based in Trumbull, CT. Divya Radhika Ganugapati practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Divya Radhika Ganugapati is 1962198010 and holds a License No. (Connecticut).

The current practice location address for Divya Radhika Ganugapati is 115 Aspen Ln, Trumbull, CT and can be reached out via phone at 203-400-0813.

Location: 115 Aspen Ln, Trumbull, CT, 06611-1438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962198010
Provider Name
Divya Radhika Ganugapati
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
115 Aspen Ln, Trumbull, CT, 06611-1438
Phone Number
203-400-0813
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 Aspen Ln
City
Trumbull
State
Connecticut
Zip
06611-1438
Phone Number
203-400-0813
Fax Number
person
Provider Business Mailing Address Details
Address
115 Aspen Ln
City
Trumbull
State
Connecticut
Zip
06611-1438
Phone Number
203-400-0813
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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