Individual
DR. PADMINI CHANNAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
280 S MAIN ST STE 103, CHESHIRE, CT 06410-3112
(860) 696-2925
(860) 696-2926
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9034
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77992
CT
208VP0000X
Pain Medicine Physician
77992
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
03/29/2020
Last updated
08/06/2024
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