National Provider Identifier Database

ANNETTE VANNILAM, MD – NPI #1275972952
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

ANNETTE VANNILAM, MD
191 POST RD W
WESTPORT, CT06880-4625
Phone: 860-545-9560
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for ANNETTE VANNILAM

NPI Number 1275972952
Credentials MD
Entity Individual
Enumeration date 06/17/2013
Last updated 09/04/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 75930
  • MI License #: 4301103398
  • TN License #: MD0000054575
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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