Rajanna, Champakamala Honganur

Rajanna, Champakamala Honganur is an individual health care provider with primary practice located at 189 Storrs Rd , Mansfield Center CT 06250-1683. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Rajanna, Champakamala Honganur can be contacted via phone (646) 685-6671.

Contact Information

Primary practice address
189 Storrs Rd Mansfield Center CT 06250-1683
Phone: (646) 685-6671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116024030 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 053738 Connecticut

Profile Details

NPI number 1598044133
LBN Legal business name Rajanna, Champakamala Honganur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2011
Last updated Jun 23rd, 2015 - about 9 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.

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