Active NPIIndividual providerSole proprietor

Frukan Ileaasu, MD

Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut

NPI Number1861294779
Practice location
56 Franklin St, Waterbury, CT 06706-1253
Fax
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Last updated
March 24, 2025

Frukan Ileaasu is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Frukan Ileaasu practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Frukan Ileaasu is 1861294779. The current practice location address for Frukan Ileaasu is 56 Franklin St, Waterbury, CT 06706-1253 and can be reached out via phone at 959-999-1090.

Provider Profile Details

NPI Number
1861294779
Provider Name
Frukan Ileaasu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
56 Franklin St, Waterbury, CT 06706-1253
Phone Number
959-999-1090
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2025
Last Update Date
March 24, 2025
Certification Date
March 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Franklin St
Waterbury, CT 06706-1253
Zip
06706-1253
Phone Number
959-999-1090
Waterbury, CT 06706Get directions →

Provider Business Mailing Address Details

Address
24 Timber Ln
Newington, CT 06111-3536
City
Newington
State
CT
Zip
06111-3536
Phone Number
959-999-1090

License Information

License State
CT

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 Frukan Ileaasu, MD?

The NPI number of Frukan Ileaasu, MD is 1861294779. It was assigned on March 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Frukan Ileaasu, MD?

Frukan Ileaasu, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Frukan Ileaasu, MD practice?

The practice location is 56 Franklin St, Waterbury, CT 06706-1253. The office can be reached at 959-999-1090 (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 1861294779 directly on the NPPES registry website.

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