Individual provider · Type 1 NPI

Phyllis Mary Thangaraj, MD, PhD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1104400746 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104400746

Phyllis Mary Thangaraj, MD, PhD's National Provider Identifier is 1104400746, issued on May 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on May 10, 2021.