Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 64375 | CT |
N | 207V00000X | Obstetrician & Gynecologist | 64375 | CT |
NPI | 1316299803 |
---|---|
Provider Name | Rama Devi Kastury |
First Address | New Haven, CT 06510-3206 |
Second Address | New Haven, CT 06511-5991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2012 |
Last Update Date | 23/10/2019 |