Panoor, Leela

Panoor, Leela is an individual health care provider with primary practice located at 155 W Main St , Vernon CT 06066-3578. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Panoor, Leela can be contacted via phone (860) 872-9825.

Contact Information

Primary practice address
155 W Main St Vernon CT 06066-3578
Phone: (860) 872-9825
Fax: (860) 870-9384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 024173 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 024173 Connecticut

Profile Details

NPI number 1609802388
LBN Legal business name Panoor, Leela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 12th, 2007 - about 19 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 1609802388 NPPES
Connecticut MEDICAID 001241736

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