Vidyamargaret Marie Anegundi, MD
Individual provider Active NPI Pediatrics Physician · Greenwich, CT
NPI 1164748448 · NPPES record last updated Feb 8, 2022
Key facts
- NPI
- 1164748448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 51844 (CT)
- Practice address
- 644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088 - Phone
- (203) 661-6430
- NPI assigned
- Apr 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51844 | CT | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 51844 | CT | Yes |
Addresses
Primary practice location
644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088
Mailing address
644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088
Phone (203) 661-6430
Other providers in Greenwich, CT
- Harry Loy Anderson
- William Brantley Anderson
- Sarah Emily Andiman
- Joseph Francis Andrews Jr.
- Lane Elizabeth Andrews
- Thomas Anzalone
- Apollo Physical Rehabilitation LLP
- Apollo Physical Therapy , LLC
- Paul Jon Apostolides
- Herbert Michael Archer
All providers in Greenwich, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.