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Sankar Chinnugounder

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as SANKAR CHINNU GOUNDER.

Based on the most recent information from CMS, provider Sankar Chinnugounder is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1154735322
Provider Type
Individual
Full Name
Chinnugounder, Sankar
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
6/16/2014
Last Updated
5/26/2019

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3220

(203) 654-0581

Unlisted Fax

Mailing Location

20 York St, New Haven, CT 06510-3220

(203) 654-0581

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 55770 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 55770	Description Medicaid	Issuer Unlisted Connecticut
ID 55770	Description Other	Issuer OTHER INSURERS Connecticut

Sankar Chinnugounder

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Seval, Nikhil

Slobodyanyuk, Kseniya

Singh, Avinainder

Puglisi, Lisa

Rosario, Hinette Shelby

Konstantinidis, Ippokratis

Ryu, Changwan

Cruz Solbes, Ana Sofia

Ahmed, Amiya Ali

El Mouhayyar, Christopher