Sudha Thiruvengadam, MD | |
130 Division St, Griffin Hospital, Medical Education, Derby, CT 06418-1326 | |
(203) 732-7327 | |
Not Available |
Full Name | Sudha Thiruvengadam |
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Gender | Female |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639433832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 53971 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
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Saint Mary's Hospital | Waterbury, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Mailing Address | Practice Location Address |
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Sudha Thiruvengadam, MD Po Box 1090, Windsor, CT 06095-6190 Ph: (203) 755-4577 | Sudha Thiruvengadam, MD 130 Division St, Griffin Hospital, Medical Education, Derby, CT 06418-1326 Ph: (203) 732-7327 |
Genevieve Cecile Kela, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327 | |
Dr. Gerald George Fette, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Howard Quentzel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425 | |
Dr. Mukesh Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Earl Lewin Baker, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-735-7421 | |
Aartee Deshpande, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 | |
Mark S Grogan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-732-7455 Fax: 203-735-5507 |