Provider Demographics
NPI:1366758211
Name:KALIANNAN, KRITHICA (MBBS)
Entity type:Individual
Prefix:DR
First Name:KRITHICA
Middle Name:
Last Name:KALIANNAN
Suffix:
Gender:F
Credentials:MBBS
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Mailing Address - Street 1:333 CEDAR STREET-TE2-224
Mailing Address - Street 2:YNNH-DEPARTMENT OF RADIOLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8042
Mailing Address - Country:US
Mailing Address - Phone:203-785-5253
Mailing Address - Fax:
Practice Address - Street 1:333 CEDAR STREET-TE2-224
Practice Address - Street 2:YNNH-DEPARTMENT OF RADIOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8042
Practice Address - Country:US
Practice Address - Phone:203-785-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-28
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2404142085R0202X
CT541362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology