Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 60100 | CT |
NPI | 1013229103 |
---|---|
Provider Name | Mr. Robin D Raju |
First Address | New Haven, CT 06510-3209 |
Second Address | New Haven, CT 06511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 12/07/2018 |