Individual
DR. VIMALA G THALODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 679-2255
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 679-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043494
CT
207RH0003X
Hematology & Oncology Physician
Primary
043494
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001434943
—
CT
Enumeration date
09/14/2006
Last updated
09/01/2009
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