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Annette Vannilam, MD — NPI 1275972952, Westport, CT | NPI Central

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NPI 1275972952

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Annette Vannilam, MD

NPI 1275972952 · Pediatric Gastroenterology Physician · Westport, CT

Provider details

NPI number: 1275972952
Entity type: Individual
Primary specialty: Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: Yes
License: 4301103398 (MI)

Specialties & taxonomies

Pediatric Gastroenterology PhysicianPrimary2080P0206XLicense 75930 (CT)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 4301103398 (MI)
Allopathic & Osteopathic Physicians
Pediatric Gastroenterology Physician2080P0206XLicense MD0000054575 (TN)
Allopathic & Osteopathic Physicians
Primary Care Clinic/Center261QP2300XLicense 4301103398 (MI)
Ambulatory Health Care Facilities

Practice location

191 Post Rd W

Westport, CT 06880-4625

Phone: (860) 545-9560

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

191 Post Rd W

Westport, CT 06880-4625

Additional practice locations (1)

100 Michigan St Ne
Grand Rapids, MI 49503-2560
Phone: (616) 391-8810

Registry dates

Enumerated: 2013-06-17
Last updated: 2024-09-04
Certified: 2024-09-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.