Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 60208 | CT |
NPI | 1053726638 |
---|---|
Provider Name | Reeva Makhijani |
First Address | Farmington, CT 06032-2568 |
Second Address | Farmington, CT 06032-2568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 21/09/2021 |