Raja Fattaleh, MD
Family Medicine in Putnam, Connecticut
1841283439- Practice location
- 353 Pomfret St, Putnam, CT 06260-1835
- Phone
- 860-928-1111
- Fax
- 860-963-7756
- Last updated
- March 26, 2026
Raja Fattaleh is a Family Medicine based in Putnam, CT. Raja Fattaleh practices in Putnam, CT and has the professional credentials of MD. The NPI Number for Raja Fattaleh is 1841283439 and holds a License No. 038188 (CT). The current practice location address for Raja Fattaleh is 353 Pomfret St, Putnam, CT 06260-1835 and can be reached out via phone at 860-928-1111 and via fax at 860-963-7756.
Provider Profile Details
- NPI Number
- 1841283439
- Provider Name
- Raja Fattaleh
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 353 Pomfret St, Putnam, CT 06260-1835
- Phone Number
- 860-928-1111
- Fax Number
- 860-963-7756
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 29, 2005
- Last Update Date
- March 26, 2026
- Certification Date
- March 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 353 Pomfret St
Putnam, CT 06260-1835 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1835
- Phone Number
- 860-928-1111
- Fax Number
- 860-963-7756
Provider Business Mailing Address Details
- Address
- Po Box 333
Putnam, CT 06260-0333 - City
- Putnam
- State
- CT
- Zip
- 06260-0333
- Phone Number
- 860-928-1111
- Fax Number
- 860-963-7756
License Information
- License Number
- 038188
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Raja Fattaleh, MD?
The NPI number of Raja Fattaleh, MD is 1841283439. It was assigned on August 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Raja Fattaleh, MD?
Raja Fattaleh, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 038188.
Where does Raja Fattaleh, MD practice?
The practice location is 353 Pomfret St, Putnam, CT 06260-1835. The office can be reached at 860-928-1111 (phone) or 860-963-7756 (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 1841283439 directly on the NPPES registry website.