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

Kajonwud Shane Chongulia

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679491294

Kajonwud Shane Chongulia is a Student in an Organized Health Care Education/Training Program in Groton, Connecticut. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 600
Groton, CT 06349-5600
Phone: (860) 694-3736
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NJ)

Record details

NPI number1679491294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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