Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNETTE VANNILAM, MD
Active Sole ProprietorANNETTE VANNILAM, MD is a Pediatric Gastroenterology healthcare provider located in WESTPORT, Connecticut. NPI 1275972952 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · WESTPORT, CT
Registration Details
- NPI Number
- 1275972952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2013 (13.167330846373 yrs)
- Last Updated
- Sep 4, 2024
- Licenses
-
4301103398 (MI)MD0000054575 (TN)4301103398 (MI)75930 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
191 POST RD WWESTPORT, CT, 068804625Browse CT providers · Browse ZIP 06880
- Phone
- 8605459560
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
- Additional Specialty
- Primary Care Clinic
- Additional Specialty
- Pediatric Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.