Fafa H Koudoro, MD
Radiology, Diagnostic Radiology in Wethersfield, Connecticut
1053847780- Practice location
- 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363
- Phone
- 860-289-3375
- Fax
- —
- Last updated
- April 24, 2026
Fafa Huberta Koudoro is a Radiology, Diagnostic Radiology based in Wethersfield, CT. Fafa Huberta Koudoro practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Fafa Huberta Koudoro is 1053847780 and holds a License No. 72410 (CT). The current practice location address for Fafa Huberta Koudoro is 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363 and can be reached out via phone at 860-289-3375.
Provider Profile Details
- NPI Number
- 1053847780
- Provider Name
- Fafa Huberta Koudoro
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363
- Phone Number
- 860-289-3375
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 1, 2017
- Last Update Date
- April 24, 2026
- Certification Date
- April 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1260 Silas Deane Hwy Ste 104
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4363
- Phone Number
- 860-289-3375
Provider Business Mailing Address Details
- Address
- 100 Hazard Ave Ste 100
Enfield, CT 06082-5447 - City
- Enfield
- State
- CT
- Zip
- 06082-5447
- Phone Number
- 860-289-3375
License Information
- License Number
- 72410
- License State
- CT
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fafa H Koudoro, MD?
The NPI number of Fafa H Koudoro, MD is 1053847780. It was assigned on May 1, 2017 and is currently active in the NPPES registry.
What is the specialty of Fafa H Koudoro, MD?
Fafa H Koudoro, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CT under license number 72410.
Where does Fafa H Koudoro, MD practice?
The practice location is 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363. The office can be reached at 860-289-3375 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053847780 directly on the NPPES registry website.