Individual
ANIYIZHAI ANNAMALAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519
(203) 974-7497
(203) 974-7322
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046853
CT
2084P0800X
Psychiatry Physician
Primary
046853
CT
Other
Enumeration date
05/02/2007
Last updated
08/21/2018
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