Provider Demographics
NPI:1528414810
Name:JANANI, KHUSHBU V (DO)
Entity Type:Individual
Prefix:DR
First Name:KHUSHBU
Middle Name:V
Last Name:JANANI
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:HHC-CVO
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 DANBURY RD FL 1
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4448
Practice Address - Country:US
Practice Address - Phone:203-838-4000
Practice Address - Fax:203-845-9535
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2024-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT63679207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1528414810OtherINTERNAL MEDICINE