4 Elements Direct Primary Care LLC
NPI #1730756636 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1730756636
- Entity Type
- Organization
- Organization Name
- 4 Elements Direct Primary Care LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 8, 2021
- Last Updated
- Nov 1, 2025
Practice Location
- Address
- 1300 SULLIVAN AVE
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-2713
- Phone
- (860) 469-5646
Authorized Official
- Name
- DR. VASANTH KAINKARYAM, MD
- Title
- MANAGING MEMBER
- Phone
- (860) 469-5656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Obesity Medicine — Obesity Medicine |
| Pediatrics |
| Internal Medicine |
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