Individual
DR. VASANTH KAINKARYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2713
(860) 469-5646
(860) 310-1122
Mailing address
1300 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2713
(860) 469-5646
(860) 310-1122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050695
CT
208000000X
Pediatrics Physician
050695
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588838155
NPI
—
Enumeration date
04/15/2008
Last updated
11/01/2025
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