Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 064927 | CT |
NPI | 1003202151 |
---|---|
Provider Name | Tarunya Reddy Vedere |
First Address | Farmington, CT 06030-8025 |
Second Address | Farmington, CT 06030-8025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 15/11/2021 |