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BRANHAVEN MEDICAL GROUP LLC NPI 1558303107


NPI Information

NPI: 1558303107
Provider Name: BRANHAVEN MEDICAL GROUP LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
251 W MAIN ST
LAKEVIEW CENTER
BRANFORD, CT
ZIP 06405
Phone: (203) 481-0077
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BRANHAVEN MEDICAL GROUP LLC is an internal medicine in Branford, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BRANHAVEN MEDICAL GROUP LLC NPI is 1558303107. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

251 W MAIN ST
LAKEVIEW CENTER
BRANFORD, CT
ZIP 06405-047
Phone: (203) 481-0077
Fax: (203) 481-0066

The provider's authorized official is Prathibha Kumar .
The authorized official title is President and has the following contact phone number (203) 481-0077.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/22/2020.


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
1207R00000XInternal Medicine032669CONNECTICUTYes

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: 4/28/2024

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