Individual provider · Type 1 NPI

Kousigan Chetipati Vadivelu, MD., MSC

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

NPI number 1891211215 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X33731 (OK)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Nuclear Medicine Physician 207U00000X33731 (OK)

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 1891211215

Kousigan Chetipati Vadivelu, MD., MSC's National Provider Identifier is 1891211215, issued on Aug 17, 2017. 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 19, 2024.