NPIMap

Organization Active NPI

West Hartford Internal Medicine, LLC

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1598070401
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041070 Issued in CT
Legal business name
WEST HARTFORD INTERNAL MEDICINE, LLC
Practice address
1007 Farmington Ave
S;Uite 9
West Hartford, CT 06107-2133
Phone
(860) 586-7825
Fax
(860) 586-7827
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Varalakshmi Venkatachalam, M.D.
Title
Owner
Phone
(860) 586-7825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 041070 CT Primary

Addresses

Primary practice location

1007 Farmington Ave
S;Uite 9
West Hartford, CT 06107-2133

Mailing address

1007 Farmington Ave
S;Uite 9
West Hartford, CT 06107-2133
Phone (860) 586-7825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1598070401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 FARMINGTON AVE",
            "address_2": "S;UITE 9",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072133",
            "telephone_number": "860-586-7825",
            "fax_number": "860-586-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 FARMINGTON AVE",
            "address_2": "S;UITE 9",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072133",
            "telephone_number": "860-586-7825",
            "fax_number": "860-586-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARTFORD INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "VENKATACHALAM",
        "authorized_official_first_name": "VARALAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-586-7825",
        "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": "041070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.