RAJI ANAND MADDELA NPI 1649946823

NPI Information

NPI: 1649946823
Provider Name: RAJI ANAND MADDELA
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
950 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516
Phone: (203) 932-5711
Get Directions

Raji Anand Maddela is an acute care nurse practitioner in West Haven, CT. Raji Anand Maddela NPI is 1649946823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

950 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516-770
Phone: (203) 932-5711

The NPI 1649946823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2021 and was last updated on 10/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		163942	CONNECTICUT	No
2	363LA2100X	Nurse Practitioner	Acute Care	10143	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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