| Sudha Thiruvengadam, MD | |
|
130 Division St, Griffin Hospital, Medical Education, Derby, CT 06418-1326 | |
| (203) 732-7327 | |
| Not Available |
| Full Name | Sudha Thiruvengadam |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 28 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 |
|---|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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. Banya Myo Win, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 230-735-7421 | |
Dr. Barbara Odac, MD Internal Medicine Medicare: Not Enrolled in Medicare 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 | |
Divya Mamootil, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Seymour Ave Ste 202, Derby, CT 06418 Phone: 203-732-2651 Fax: 203-732-2654 |