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Mallasetappa Shiranna Umapathy, MD
General Practice Physician in West Haven, Connecticut
NPI 1811912512

Mallasetappa Shiranna Umapathy is a General Practice Physician based in West Haven, CT. Mallasetappa Shiranna Umapathy practices in West Haven, CT and has the professional credentials of MD. The NPI Number for Mallasetappa Shiranna Umapathy is 1811912512 and holds a License No. 025441 (Connecticut).

The current practice location address for Mallasetappa Shiranna Umapathy is 309 Main St, West Haven, CT and can be reached out via phone at 203-933-4001 and via fax at 203-933-3759.

Location: 309 Main St, West Haven, CT, 06516-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811912512
Provider Name
Mallasetappa Shiranna Umapathy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
309 Main St, West Haven, CT, 06516-4424
Phone Number
203-933-4001
Fax Number
203-933-3759
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001254416 05 CT
institution
Provider Business Practice Location Address Details
Address
309 Main St
City
West Haven
State
Connecticut
Zip
06516-4424
Phone Number
203-933-4001
Fax Number
203-933-3759
person
Provider Business Mailing Address Details
Address
309 Main St
City
West Haven
State
Connecticut
Zip
06516-4424
Phone Number
203-933-4001
Fax Number
203-933-3759
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
025441 (Connecticut)
Definition
Definition to come...
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