Jayanthi, Lata Rao

Jayanthi, Lata Rao is an individual health care provider with primary practice located at 95 Scovill St 3Rd Floor, Waterbury CT 06706-1113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jayanthi, Lata Rao can be contacted via phone (203) 709-6000.

Contact Information

Primary practice address
95 Scovill St 3Rd Floor Waterbury CT 06706-1113
Phone: (203) 709-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 031026 Connecticut

Profile Details

NPI number 1841226354
LBN Legal business name Jayanthi, Lata Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Mar 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841226354 NPPES
Connecticut Other 3140536/4383729 AETNA
Connecticut MEDICAID 001310268 AETNA
Connecticut Other 010031026CT01 AETNA
Connecticut Other 09-21728 AETNA
Connecticut Other 310260-N063 AETNA

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