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WEST HAVEN MEDICAL GROUP LLC NPI 1417955923


NPI Information

NPI: 1417955923
Provider Name: WEST HAVEN MEDICAL GROUP, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
687 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516
Phone: (203) 932-6481
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WEST HAVEN MEDICAL GROUP, LLC is an internal medicine in West Haven, 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. WEST HAVEN MEDICAL GROUP, LLC NPI is 1417955923. The provider is registered as an organization entity type and is a multi-specialty group.

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 provider's authorized official is Anuruddha Walaliyadda .
The authorized official title is Managing Partner and has the following contact phone number (203) 932-6481.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 1/21/2014.


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
1207QA0505XFamily MedicineAdult Medicine016797CONNECTICUTNo
2207R00000XInternal Medicine016636CONNECTICUTYes

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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