Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Srinivasulu Conjeevaram, MD

Family Medicine Physician in Colchester, CT · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780958058

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Registry record

Entity type Individual (Type 1)

Name Dr. Srinivasulu Conjeevaram

Credential MD

Sex Male

Practice address 100 Linwood Ave Ste 2a, Colchester, CT, 06415

Phone (860) 415-3622

Fax (860) 974-0884

Enumeration date Mar 2, 2012

Last updated in NPPES Mar 24, 2023

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 53644 (CT) Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 4301086842 (MI) Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 53644 (CT) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 53644 (CT) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
053644	Other	CT	STATE MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Srinivasulu Conjeevaram's NPI record?

Cross-check NPI 1780958058 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1780958058 active?

Yes, as of the latest NPPES snapshot, NPI 1780958058 is active (record last updated 2023-03-24).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-24.