Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Srinivasulu Conjeevaram, MD

Individual provider Internal Medicine Physician · NPI 1780958058

Dr. Srinivasulu Conjeevaram, MD is a Family Practice in Colchester, Connecticut. Qualified in 1996, 30 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and Michigan.

Years since qualifying
30
Licensed in
CT, MI
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Linwood Ave Ste 2A
Colchester, CT 06415-1138
Phone: (860) 415-3622
Fax: (860) 974-0884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 421 Cottage Grove Rd Ste B, Bloomfield, CT 06002-3170 — (860) 242-0034
  • 146 Main Street, Somers, CT 06071-1825 — (860) 415-3622

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 53644 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 53644 (CT)
General Practice Physician Taxonomy 208D00000X · Licence 4301086842 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 53644 (CT)

Record details

NPI number1780958058
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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