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

MS. Pujitha Vallivedu Chennakesavulu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912698150

MS. Pujitha Vallivedu Chennakesavulu, MD is an Internal Medicine in Bridgeport, Connecticut. Qualified in 2022, 4 years ago. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bridgeport, CT
Fax: (475) 210-5022

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 83934 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912698150
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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