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

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

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.

Groton, CT

No coordinates on file. Search this address in Google Maps

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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