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

Individual provider Psychiatry Physician · NPI 1922312503

Dr. Theddeus Iheanacho, MD is a Psychiatry in Milford, Connecticut. Qualified in 1998, 28 years ago. Practices with Charter Oak Health Center, Inc, a 37-clinician group and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
28
Licensed in
CT, NY
In the registry since
2010
Specialties on file
2
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

203 Broad St Ste C-4
Milford, CT 06460-4751
Phone: (203) 874-0593
Fax: (203) 877-8053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 49777 (CT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 258158 (NY)

Record details

NPI number1922312503
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2010
Last updated in NPPESJuly 16, 2012

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Charter Oak Health Center, Inc — 37 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Milford