Organization Active NPI

Chelliah Pandian LLC

  • Internal Medicine Physician
  • Willimantic, CT
National Provider Identifier
1598882995
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042983 Issued in 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
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Chelliah Pandian, MDNPI 1467419010
Title
MD
Phone
(860) 423-8033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 042983 CT Primary

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

National Provider Directory

National Provider Directory

Locations

14 Quarry St
Willimantic, CT 06226
Phone (860) 423-8020

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1598882995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 THOMPSON ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334012",
            "telephone_number": "860-633-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 IVAN HILL ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262001",
            "telephone_number": "860-423-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELLIAH PANDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "PANDIAN",
        "authorized_official_first_name": "CHELLIAH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "860-423-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.