Individual
CHELLIAH PANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 IVAN HILL ST, WILLIMANTIC, CT 06226-2001
(860) 423-8033
(860) 423-8373
Mailing address
29 IVAN HILL ST, WILLIMANTIC, CT 06226-2001
(860) 423-8033
(860) 423-8373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001429837
—
CT
Enumeration date
04/27/2006
Last updated
03/07/2017
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