Healthcare Provider Details

I. General information

NPI: 1255403473
Provider Name (Legal Business Name): MICHELLE APIADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 05/18/2020
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 VILLAGE GREEN DR
LITCHFIELD CT
06759-3433
US

IV. Provider business mailing address

7 VILLAGE GREEN DR
LITCHFIELD CT
06759-3433
US

V. Phone/Fax

Practice location:
  • Phone: 860-567-0130
  • Fax: 860-567-0125
Mailing address:
  • Phone: 860-567-0130
  • Fax: 860-567-0125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number038823
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: