Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 1.067982-RES | CT |
NPI | 1164953865 |
---|---|
Provider Name | Ms. Roshini Sarah Zachariah |
First Address | Farmington, CT 06030-0002 |
Second Address | Farmington, CT 06030-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2017 |
Last Update Date | 26/09/2021 |