Ravin Defonseka, MD
Internal Medicine · Stamford, CT
UnclaimedMDNPI 1205413085
- Primary taxonomy
- 207R00000X
- Enumerated
- 2021-03-26
- Practice location
- Stamford, CT
- Last NPPES update
- 2024-08-06
State licenses
- CO · Physician · NPPES self-reportedListed on NPI record
- CT · Resident physician · Resident PhysicianInactivethrough 2024
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.