Active NPIOrganization

West Haven Medical Group, LLC

Internal Medicine in West Haven, Connecticut

NPI Number1417955923
Practice location
687 Campbell Ave, West Haven, CT 06516-3774
Fax
203-932-4051
Last updated
January 21, 2014

West Haven Medical Group, LLC is a healthcare organization based in West Haven, CT. West Haven Medical Group, LLC practices in West Haven, CT. The NPI Number for West Haven Medical Group, LLC is 1417955923 and holds a License No. 016797 (CT). The current practice location address for West Haven Medical Group, LLC is 687 Campbell Ave, West Haven, CT 06516-3774 and can be reached out via phone at 203-932-6481 and via fax at 203-932-4051.

Provider Profile Details

NPI Number
1417955923
Provider Name
West Haven Medical Group, LLC
Provider Entity Type
Organization
Address
687 Campbell Ave, West Haven, CT 06516-3774
Phone Number
203-932-6481
Fax Number
203-932-4051
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Anuruddha Walaliyadda, MD · Managing Partner · 203-932-6481
Provider Enumeration Date
July 8, 2005
Last Update Date
January 21, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
687 Campbell Ave
West Haven, CT 06516-3774
Zip
06516-3774
Phone Number
203-932-6481
Fax Number
203-932-4051
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
687 Campbell Ave
West Haven, CT 06516-3774
City
West Haven
State
CT
Zip
06516-3774
Phone Number
203-932-6481
Fax Number
203-932-4051

License Information

License Number (1)
016797
License State (1)
CT
Taxonomy (1)
Family Medicine, Adult Medicine · 207QA0505X
License Number (2)
016636
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · 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 West Haven Medical Group, LLC?

The NPI number of West Haven Medical Group, LLC is 1417955923. It was assigned on July 8, 2005 and is currently active in the NPPES registry.

What is the specialty of West Haven Medical Group, LLC?

West Haven Medical Group, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 016797.

Where does West Haven Medical Group, LLC practice?

The practice location is 687 Campbell Ave, West Haven, CT 06516-3774. The office can be reached at 203-932-6481 (phone) or 203-932-4051 (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 1417955923 directly on the NPPES registry website.

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