npidexNPI registry + Medicare data

ANNETTE VANNILAM, MD

Pediatric Gastroenterology Physician · WESTPORT, CT

Individual Active NPI 1275972952

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Gastroenterology Physician2080P0206X✓75930CT
Pediatrics Physician208000000X4301103398MI
Pediatric Gastroenterology Physician2080P0206XMD0000054575TN
Primary Care Clinic/Center261QP2300X4301103398MI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.