Family Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

029697 Issued in CT

Legal business name

FAMILY MEDICAL CENTER LLC

Practice address

765 Main St
Monroe, CT 06468-2810

Phone

(203) 452-0500

Fax

(203) 452-0300

NPI assigned

Oct 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sekhar Chandra Chirunomula, M.D.

Title

Medical Director

Phone

(203) 452-0500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1427247923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 MAIN ST",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682810",
            "telephone_number": "203-452-0500",
            "fax_number": "203-452-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MAIN ST",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682810",
            "telephone_number": "203-452-0500",
            "fax_number": "203-452-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "CHIRUNOMULA",
        "authorized_official_first_name": "SEKHAR",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-452-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Monroe, CT
• Providers in Monroe, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.