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General NPI Number Information
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NPI Number | 1134445653
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Entity Type | Individual
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Provider Name | RAJWARDHAN YADAV M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1131 WEST ST STE 1
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City | SOUTHINGTON
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State | CT
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Zip | 06489-6006
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Country | US
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Telephone | 860-621-1461
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Fax | 860-628-5611
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Provider Business Mailing Address
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Address Line | 527 MEDICAL PARK DR STE 400
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9010
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Country | US
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Telephone | 681-342-3500
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Fax | 681-342-3507
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 53734
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License Number State | CT
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