Individual
VEENA CHANNAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
134 STATE STREET, COMMUNITY HEALTH CENTER INC, MERIDEN, CT 06450
(203) 237-2229
(203) 686-1677
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
045730
CT
207Q00000X
Family Medicine Physician
238735
NY
207Q00000X
Family Medicine Physician
Primary
45730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
01
—
071802
MEDICARE
CT
Enumeration date
10/04/2006
Last updated
02/14/2012
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