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1275736274
KAVITA PRABHAKAR
FARMINGTON, CT
NPI
1275736274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CT 045491)
Enumeration Date
2007-06-07
Last Update Date
2015-01-28
Business Address
-- KAVITA PRABHAKAR M.D.
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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Mailing Address
-- KAVITA PRABHAKAR M.D.
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4225
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