Provider Demographics
NPI:1902934375
Name:HAVALIGI, NAVASUMA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVASUMA
Middle Name:
Last Name:HAVALIGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 JOHN OLDS DR
Mailing Address - Street 2:APT 207
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8801
Mailing Address - Country:US
Mailing Address - Phone:860-237-5370
Mailing Address - Fax:
Practice Address - Street 1:112 SPENCER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4601
Practice Address - Country:US
Practice Address - Phone:860-432-5600
Practice Address - Fax:860-432-5622
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine