Individual
MS. PUJITHA VALLIVEDU CHENNAKESAVULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 MAIN STREET, BRIDGEPORT, CT 06606
(475) 210-5425
(475) 210-5022
Mailing address
2900 MAIN STREET, BRIDGEPORT, CT 06606
(475) 210-5425
(475) 210-5022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83934
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2023
Last updated
05/06/2026
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