Individual provider · Type 1 NPI
Avinash Rajram
Psychiatric/Mental Health Nurse Practitioner · Hartford, CT
NPI number
1619790607
Active
Practice location
43 Woodland St
Hartford, CT 06105-2363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 829589 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 15201 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619790607
Avinash Rajram's National Provider Identifier is 1619790607, issued on Nov 6, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hartford, CT. The record was last updated on Aug 8, 2025.