Individual
YAMINI CHALIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MIDDLE TPKE W, MANCHESTER, CT 06040-3816
(860) 533-4176
Mailing address
515 MIDDLE TPKE W, MANCHESTER, CT 06040-3816
(860) 533-4176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72034
CT
Other
Enumeration date
04/18/2019
Last updated
10/05/2022
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