Healthcare Provider Details

I. General information

NPI: 1508014721
Provider Name (Legal Business Name): VLADIMIR A BROWN-ZHELTKOV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VLADIMIR A ZHELTKOV M.D.

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W THAMES ST BLDG 301
NORWICH CT
06360-7167
US

IV. Provider business mailing address

401 W THAMES ST BLDG 301
NORWICH CT
06360-7167
US

V. Phone/Fax

Practice location:
  • Phone: 860-859-4500
  • Fax:
Mailing address:
  • Phone: 860-859-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number52470
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number52470
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: