Provider Demographics
NPI:1447487723
Name:VENKATESH, JAYASHREE (MD)
Entity type:Individual
Prefix:DR
First Name:JAYASHREE
Middle Name:
Last Name:VENKATESH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:893 MAIN ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-2292
Mailing Address - Country:US
Mailing Address - Phone:860-289-3047
Mailing Address - Fax:860-528-4735
Practice Address - Street 1:893 MAIN ST
Practice Address - Street 2:SUITE 303
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-2292
Practice Address - Country:US
Practice Address - Phone:860-289-3047
Practice Address - Fax:860-528-4735
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2013-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0347332080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine