Individual
DR. MOHAN VODAPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,DABPM
Contact information
Practice address
2447 WHITNEY AVE, SUITE 1, HAMDEN, CT 06511-3211
(203) 624-4400
(203) 624-4402
Mailing address
2447 WHITNEY AVE, SUITE1, HAMDEN, CT 06518-3211
(203) 624-4400
(203) 624-4402
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
039595
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
039595
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00139595500
BLUECARE FAMILY PLAN
CT
01
—
010039595CT01
BLUE CROSS BLUE SHIELD
CT
01
—
039595
CONNECTICARE
CT
01
—
223514271
UNITED HEALTHCARE
CT
01
—
5061151001
CIGNA
CT
01
—
7070292
AETNA
CT
01
—
A752119
OXFORD
CT
Enumeration date
06/06/2006
Last updated
02/04/2020
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