Provider Demographics
NPI:1689896615
Name:RAWLINS, WAYNE SEDRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:SEDRICK
Last Name:RAWLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 FARMINGTON AVE.
Mailing Address - Street 2:RC5A
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:16156
Mailing Address - Country:US
Mailing Address - Phone:860-273-5230
Mailing Address - Fax:
Practice Address - Street 1:151 FARMINGTON AVE.
Practice Address - Street 2:RC5A
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:16156
Practice Address - Country:US
Practice Address - Phone:860-273-5230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT25571207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine