Active NPIIndividual provider

Gyanprakash A Ketwaroo, MD

Internal Medicine, Gastroenterology in West Haven, Connecticut

NPI Number1083819635
Practice location
950 Campbell Ave, West Haven, CT 06516-2770
Fax
—
Last updated
August 22, 2023

Gyanprakash A Ketwaroo is an Internal Medicine, Gastroenterology based in West Haven, CT. Gyanprakash A Ketwaroo practices in West Haven, CT and has the professional credentials of MD. The NPI Number for Gyanprakash A Ketwaroo is 1083819635 and holds a License No. 72223 (CT). The current practice location address for Gyanprakash A Ketwaroo is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.

Provider Profile Details

NPI Number
1083819635
Provider Name
Gyanprakash A Ketwaroo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
950 Campbell Ave, West Haven, CT 06516-2770
Phone Number
203-932-5711
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2007
Last Update Date
August 22, 2023
Certification Date
August 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Campbell Ave
West Haven, CT 06516-2770
Zip
06516-2770
Phone Number
203-932-5711
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
2002 Holcombe Blvd
Houston, TX 77030-4211
City
Houston
State
TX
Zip
77030-4211
Phone Number
713-791-1414
Fax Number
713-794-7472

License Information

License Number (1)
72223
License State (1)
CT
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
72223
License State (2)
CT
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · 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 Gyanprakash A Ketwaroo, MD?

The NPI number of Gyanprakash A Ketwaroo, MD is 1083819635. It was assigned on June 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Gyanprakash A Ketwaroo, MD?

Gyanprakash A Ketwaroo, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in CT under license number 72223.

Where does Gyanprakash A Ketwaroo, MD practice?

The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (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 1083819635 directly on the NPPES registry website.

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