Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 000213 | CT |
NPI | 1053593863 |
---|---|
Provider Name | Dr. Leo M Veleas |
First Address | Southington, CT 06489-2525 |
Second Address | Southington, CT 06489-2525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 04/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0159439001 | CIGNA (01) | CT |
021300 | CONNECTICARE (01) | CT |
500000213CT01 | ANTHEM BC/BS (01) | CT |
HAS029 | OXFORD (01) | CT |
T22707 | (02) | CT |