Active NPIIndividual provider

Dr. Rajiv M Mallipudi, MD

Hospitalist in Bridgeport, Connecticut

NPI Number1760845747
Practice location
267 Grant St, Bridgeport, CT 06610
Fax
203-384-3135
Last updated
February 26, 2020

Rajiv Matthew Mallipudi is a Hospitalist based in Bridgeport, CT. Rajiv Matthew Mallipudi practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Rajiv Matthew Mallipudi is 1760845747 and holds a License No. 62105 (CT). The current practice location address for Rajiv Matthew Mallipudi is 267 Grant St, Bridgeport, CT 06610 and can be reached out via phone at 203-384-4677 and via fax at 203-384-3135.

Provider Profile Details

NPI Number
1760845747
Provider Name
Rajiv Matthew Mallipudi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
267 Grant St, Bridgeport, CT 06610
Phone Number
203-384-4677
Fax Number
203-384-3135
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2016
Last Update Date
February 26, 2020
Certification Date
February 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610
Zip
06610
Phone Number
203-384-4677
Fax Number
203-384-3135
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
20 York Street, Cb-2041
New Haven, CT 06510-3220
City
New Haven
State
CT
Zip
06510-3220
Phone Number
203-384-4677
Fax Number
203-384-3135

License Information

License Number (1)
62105
License State (1)
CT
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (3)
62105
License State (3)
CT
Taxonomy (3)
Hospitalist · 208M00000X · 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. Rajiv M Mallipudi, MD?

The NPI number of Dr. Rajiv M Mallipudi, MD is 1760845747. It was assigned on March 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Rajiv M Mallipudi, MD?

Dr. Rajiv M Mallipudi, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in CT under license number 62105.

Where does Dr. Rajiv M Mallipudi, MD practice?

The practice location is 267 Grant St, Bridgeport, CT 06610. The office can be reached at 203-384-4677 (phone) or 203-384-3135 (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 1760845747 directly on the NPPES registry website.

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