Individual provider · Type 1 NPI

Vijay Venugopal

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

NPI number 1124438106 Active

Practice location

71 Haynes St
Manchester, CT 06040-4131

Call (860) 533-4679 Map

Mailing address

2 Pineberry Ct
Poughkeepsie, NY 12603-4926

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 1124438106

Vijay Venugopal's National Provider Identifier is 1124438106, issued on Apr 30, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manchester, CT. The record was last updated on Jun 27, 2025.