Thirugnanasambandam Thayumanavan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Uconn Health General Medicine Clinic
263 Farmington Avenue Outpatient Pavilion, 2 East
Farmington, CT 06030-8021

Phone

(860) 679-4477

Fax

(860) 679-1025

NPI assigned

Jun 3, 2025

Reactivated

Jul 29, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1487548749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCONN HEALTH GENERAL MEDICINE CLINIC",
            "address_2": "263 FARMINGTON AVENUE OUTPATIENT PAVILION, 2 EAST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308021",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCONN HEALTH GENERAL MEDICINE CLINIC",
            "address_2": "263 FARMINGTON AVENUE OUTPATIENT PAVILION, 2 EAST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308021",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYUMANAVAN",
        "first_name": "THIRUGNANASAMBANDAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "deactivation_date": "2026-04-09",
        "reactivation_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Farmington, CT
• Student in an Organized Health Care Education/Training Program in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.