Ketan Ramanlal Bulsara, MD
Neurological Surgery in Farmington, CT. Individual provider (NPI-1).
NPI number1780888529
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1780888529
- Entity type
- Individual (NPI-1)
- Name
- Ketan Ramanlal Bulsara
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2007
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 045293 | CT | Yes |
| 208600000X | Surgery | 045293 | CT |
Practice location
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-8080
Mailing address
Uconn Medical Group 263 Farmington AvenueFarmington, CT 06030-8063
Phone 860-679-8080 · Fax 860-679-1430
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