Provider Demographics
NPI:1447006317
Name:PALISETTI, SPANDANA (MBBS)
Entity type:Individual
Prefix:DR
First Name:SPANDANA
Middle Name:
Last Name:PALISETTI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DANBURY HOSPITAL
Mailing Address - Street 2:24 HOSPITAL AVENUE
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6099
Mailing Address - Country:US
Mailing Address - Phone:203-739-7855
Mailing Address - Fax:
Practice Address - Street 1:DANBURY HOSPITAL
Practice Address - Street 2:24 HOSPITAL AVENUE
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-739-7855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program