Provider Demographics
NPI:1487548749
Name:THAYUMANAVAN, THIRUGNANASAMBANDAM
Entity type:Individual
Prefix:
First Name:THIRUGNANASAMBANDAM
Middle Name:
Last Name:THAYUMANAVAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCONN HEALTH GENERAL MEDICINE CLINIC
Mailing Address - Street 2:263 FARMINGTON AVENUE OUTPATIENT PAVILION, 2 EAST
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8021
Mailing Address - Country:US
Mailing Address - Phone:860-679-4477
Mailing Address - Fax:860-679-1025
Practice Address - Street 1:UCONN HEALTH GENERAL MEDICINE CLINIC
Practice Address - Street 2:263 FARMINGTON AVENUE OUTPATIENT PAVILION, 2 EAST
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-8021
Practice Address - Country:US
Practice Address - Phone:860-679-4477
Practice Address - Fax:860-679-1025
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program