Active NPIIndividual providerSole proprietor

Dr. Mahalia S Desruisseaux, MD

Internal Medicine, Infectious Disease in New Haven, Connecticut

NPI Number1063603918
Practice location
20 York St, New Haven, CT 06510
Fax
—
Last updated
June 18, 2018

Mahalia S Desruisseaux is an Internal Medicine, Infectious Disease based in New Haven, CT. Mahalia S Desruisseaux practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Mahalia S Desruisseaux is 1063603918 and holds a License No. 229654 (NY). The current practice location address for Mahalia S Desruisseaux is 20 York St, New Haven, CT 06510 and can be reached out via phone at 718-688-4242.

Provider Profile Details

NPI Number
1063603918
Provider Name
Mahalia S Desruisseaux
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 York St, New Haven, CT 06510
Phone Number
718-688-4242
Primary Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X
Sole Proprietor
Yes
Provider Enumeration Date
August 6, 2007
Last Update Date
June 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 York St
New Haven, CT 06510
Zip
06510
Phone Number
718-688-4242
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
Po Box 208022
New Haven, CT 06520-8022
City
New Haven
State
CT
Zip
06520-8022
Phone Number
203-737-4057

License Information

License Number (1)
229654
License State (1)
NY
Taxonomy (1)
Internal Medicine, Infectious Disease · 207RI0200X
License Number (2)
60093
License State (2)
CT
Taxonomy (2)
Internal Medicine, Infectious Disease · 207RI0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Mahalia S Desruisseaux, MD?

The NPI number of Dr. Mahalia S Desruisseaux, MD is 1063603918. It was assigned on August 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mahalia S Desruisseaux, MD?

Dr. Mahalia S Desruisseaux, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in NY under license number 229654.

Where does Dr. Mahalia S Desruisseaux, MD practice?

The practice location is 20 York St, New Haven, CT 06510. The office can be reached at 718-688-4242 (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 1063603918 directly on the NPPES registry website.

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