Individual
LATHA CHIRUNOMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
Mailing address
470 JAMES ST, NEW HAVEN, CT 06513-3098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2025000166
MO
207R00000X
Internal Medicine Physician
Primary
49780
CT
207R00000X
Internal Medicine Physician
74043
AZ
Other
Enumeration date
01/03/2008
Last updated
02/12/2025
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