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DR. DAVID C MULLIGAN M.D. NPI 1487639449


NPI Information

NPI: 1487639449
Provider Name: DR. DAVID C MULLIGAN, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
333 CEDAR ST
FMB 121
NEW HAVEN, CT
ZIP 06510
Phone: (203) 737-2804
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DR. David C Mulligan, M.D. is a transplant surgery in New Haven, CT with 38 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. David C Mulligan, M.D. NPI is 1487639449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

333 CEDAR ST
FMB 121
NEW HAVEN, CT
ZIP 06510-206
Phone: (203) 737-2804
Fax: (203) 785-7162

The NPI 1487639449 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 2/18/2014.


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
1204F00000XTransplant Surgery26494ARIZONANo
2208600000XSurgery26494ARIZONANo
3208600000XSurgery54296CONNECTICUTNo
4204F00000XTransplant Surgery54296CONNECTICUTYes

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
1020002511MEDICARE PINMINNESOTA
2429755MEDICAIDARIZONA
3C71201MEDICARE UPIN
4020038526OTHERARIZONARAILROAD MEDICARE
586080015085259A462OTHERARIZONATRIWEST
6Z22782MEDICARE PINARIZONA

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

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.