Individual
DR. THIRUVENGADAM MUNIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD FRCP (LONDON)
Contact information
Practice address
35 PARK ST, YALE NEW HAVEN HOSPITAL, SMILOW CANCER CENTER, NEW HAVEN, CT 06511
(203) 200-5083
(203) 200-2235
Mailing address
15 YORK ST, STE LMP 1080, DEPARTMENT OF MEDICINE (DIGESTIVE DISEASES), NEW HAVEN, CT 06510-3220
(203) 200-5083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50095
CT
207RG0100X
Gastroenterology Physician
Primary
50095
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033436530
—
CT
Enumeration date
04/23/2010
Last updated
09/10/2022
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