GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC NPI 1285936559

NPI Information

NPI: 1285936559
Provider Name: GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
309 MAIN ST
WEST HAVEN, CT
ZIP 06516
Phone: (203) 933-4001
Get Directions

GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC is a general practice in West Haven, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC NPI is 1285936559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 MAIN ST
WEST HAVEN, CT
ZIP 06516-424
Phone: (203) 933-4001
Fax: (203) 933-3759

The provider's authorized official is Mallasetappa Shiranna Umapathy .
The authorized official title is Physician/owner and has the following contact phone number (203) 933-4001.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 11/18/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		025441	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01000754	MEDICARE UPIN	CONNECTICUT

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

NPI Synchronization or Removal

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