Ravin Defonseka, MD is a student in an organized health care education training program in Stamford, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ravin Defonseka, MD NPI is 1205413085. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 HOSPITAL PLZ
STAMFORD, CT
ZIP 06902-602
Phone: (203) 276-7147
The enumeration date for this NPI number is 3/26/2021 and was last updated on 3/26/2021.