Thalody, Vimala G

Thalody, Vimala G is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Thalody, Vimala G can be contacted via phone (860) 679-2255.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 043494 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 043494 Connecticut

Profile Details

NPI number 1447355045
LBN Legal business name Thalody, Vimala G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447355045 NPPES
Connecticut MEDICAID 001434943

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