Active NPIIndividual provider

Komsu F Mamuya, MD

Internal Medicine, Cardiovascular Disease in Wethersfield, Connecticut

NPI Number1073588695
Practice location
1260 Silas Deane Hwy, Wethersfield, CT 06109-4362
Fax
860-571-6802
Last updated
March 8, 2012

Komsu F Mamuya is an Internal Medicine, Cardiovascular Disease based in Wethersfield, CT. Komsu F Mamuya practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Komsu F Mamuya is 1073588695 and holds a License No. 047922 (CT). The current practice location address for Komsu F Mamuya is 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 and can be reached out via phone at 860-258-3477 and via fax at 860-571-6802.

Provider Profile Details

NPI Number
1073588695
Provider Name
Komsu F Mamuya
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1260 Silas Deane Hwy, Wethersfield, CT 06109-4362
Phone Number
860-258-3477
Fax Number
860-571-6802
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2006
Last Update Date
March 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Zip
06109-4362
Phone Number
860-258-3477
Fax Number
860-571-6802
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
2110 Silas Deane Highway
Rocky Hill, CT 06067
City
Rocky Hill
State
CT
Zip
06067
Phone Number
860-258-3470
Fax Number
860-571-6800

License Information

License Number (1)
047922
License State (1)
CT
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
047922
License State (2)
CT
Taxonomy (2)
Internal Medicine, Cardiovascular Disease · 207RC0000X · 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 Komsu F Mamuya, MD?

The NPI number of Komsu F Mamuya, MD is 1073588695. It was assigned on February 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Komsu F Mamuya, MD?

Komsu F Mamuya, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in CT under license number 047922.

Where does Komsu F Mamuya, MD practice?

The practice location is 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362. The office can be reached at 860-258-3477 (phone) or 860-571-6802 (fax).

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 1073588695 directly on the NPPES registry website.

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