Individual provider · Type 1 NPI

Shine Kochukunju Raju, M.B.B.S.

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1326326968 Active

Practice location

Uconn Health Ctr, 263 Farmington Ave
Farmington, CT 06030-0001

Call (516) 943-2400 Map

Mailing address

83 Leafwood Ln, Apt 220
Groton, CT 06340-6250

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326326968

Shine Kochukunju Raju, M.B.B.S.'s National Provider Identifier is 1326326968, issued on Aug 1, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Apr 1, 2014.