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KUMUDHINI FERNANDO M.D. NPI 1306842133


NPI Information

NPI: 1306842133
Provider Name: KUMUDHINI FERNANDO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
687 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516
Phone: (203) 932-6481
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Kumudhini Fernando, M.D. is a family medicine in West Haven, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kumudhini Fernando, M.D. NPI is 1306842133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

687 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516-774
Phone: (203) 932-6481
Fax: (203) 932-4051

The enumeration date for this NPI number is 6/27/2005 and was last updated on 12/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine016797CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016797OTHERCONNECTICUTCONNECTICARE
20V7684OTHERCONNECTICUTHEALTHNET
3P778776OTHERCONNECTICUTOXFORD
4B38910MEDICARE UPINCONNECTICUT
52671960OTHERCONNECTICUTAETNA
6010016797CT01OTHERCONNECTICUTANTHEM BLUE SHIELD
7001167972MEDICAIDCONNECTICUT
8001167972OTHERCONNECTICUTRAILROAD MEDICARE
9110007237MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.