Gorusu, Madhavi
Gorusu, Madhavi is an individual health care provider with primary practice located at 85 Seymour St Suite 901, Hartford CT 06106-5501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Gorusu, Madhavi can be contacted via phone (860) 246-6647.Contact Information
Primary practice address
85 Seymour St Suite 901
Hartford CT 06106-5501
Phone: (860) 246-6647
Fax: (860) 240-7067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 042803 | Connecticut |
Profile Details
| NPI number | 1982894697 |
|---|---|
| LBN Legal business name | Gorusu, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Mar 8th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982894697 | NPPES |
| Connecticut | Other | 042803 | MEDICAL LICENSE |
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