Individual
GEORGE IANNINI
Active
Individual
GEORGE IANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022392
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00022392
NYS MEDICAID
NY
01
—
0011165
CHAMPUS
CT
05
—
001223924
—
CT
01
—
0095801
GHI
CT
01
—
010022392CT01
ANTHEM BCBS
CT
01
—
040197
HEALTH NET
CT
01
—
110136697
RAILROAD MEDICARE
CT
01
—
472712
AETNA US HEALTHCARE
CT
01
—
730932
CONNECTICARE
CT
01
—
P432502
OXFORD HEALTH PLANS
CT
Enumeration date
10/16/2006
Last updated
07/08/2007
Update your record
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