SREELAKSHMI REDDIVARI

FARMINGTON, CT
NPI1093075038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  002736)
Enumeration Date2012-05-24
Last Update Date2022-07-11
Business Address
Ms. SREELAKSHMI REDDIVARI PA
263 FARMINGTON AVE GENERAL SURGERY
FARMINGTON, CT 06030-6227
Phone number: 860-679-8080
Mailing Address
Ms. SREELAKSHMI REDDIVARI PA
263 FARMINGTON AVE PROVIDER ENROLLMENT OFFICE, MC2212
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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