Chelliah Pandian LLC

Organization Active NPI Internal Medicine Physician · Willimantic, CT

NPI 1598882995 · NPPES record last updated Oct 11, 2007

Key facts

NPI
1598882995
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
042983 (CT)
Legal business name
CHELLIAH PANDIAN LLC
Practice address
29 Ivan Hill St
Willimantic, CT 06226-2001
Phone
(860) 423-8033
NPI assigned
Mar 23, 2007
Organization subpart
No

Authorized official

Name
Dr. Chelliah Pandian, MD
Title
MD
Phone
(860) 423-8033

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

29 Ivan Hill St
Willimantic, CT 06226
Phone (860) 423-8033

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 042983 CT Yes

Addresses

Primary practice location

29 Ivan Hill St
Willimantic, CT 06226-2001

Mailing address

863 Thompson St
Glastonbury, CT 06033-4012
Phone (860) 633-7090

Other providers in Willimantic, CT

All providers in Willimantic, CT · Internal Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.