Individual
VEENA VANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
935 MAIN ST, LEVEL A, MANCHESTER, CT 06040-6059
(860) 430-9004
(860) 781-6468
Mailing address
140 GRANDVIEW DR, GLASTONBURY, CT 06033-3931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032532
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001325324
—
CT
Enumeration date
08/19/2006
Last updated
05/16/2008
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