INTERNAL MEDICINE OF WESTHAVEN,LLC NPI 1003005703

Internal Medicine in West Haven, CT

About INTERNAL MEDICINE OF WESTHAVEN,LLC

Internal Medicine Of Westhaven,llc is a provider in West Haven, CT. The NPI number assigned to this provider is 1003005703. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Internal Medicine Of Westhaven,llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003005703 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameINTERNAL MEDICINE OF WESTHAVEN,LLC
Provider Location Address764 CAMPBELL AVE SUITE E WEST HAVEN, CT 06516 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address764 CAMPBELL AVE WEST HAVEN, CT 06516 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-18-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-18-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

INTERNAL MEDICINE OF WESTHAVEN,LLC
764 CAMPBELL AVE
SUITE E
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-0034
Fax: (203) 931-8225
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Mailing Address

INTERNAL MEDICINE OF WESTHAVEN,LLC
764 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-0034
Fax: (203) 931-8225

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.035984
License StateCT
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Authorized Official

Authorized Official NameDR. SREEDHAR R GOTTIPARTHY M.D Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePHISICIAN
Authorized Official Phone(203) 931-0034

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


INTERNAL MEDICINE OF WESTHAVEN,LLC address is 764 CAMPBELL AVE SUITE E WEST HAVEN, CT 06516

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437561990WEST HAVEN PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 974-7100
1619991981 SEAN WAYNE LAZARUS D.P.M
Individual
Podiatrist764 CAMPBELL AVE SUITE G
WEST HAVEN, CT 06516
(475) 238-7400
1629430251 SANDHYA JINESH
Individual
Pharmacist764 CAMPBELL AVE UNIT A
WEST HAVEN, CT 06516
(203) 934-7100
1679680391DR. NKEMAKONAM H IKEKPEAZU MD
Individual
Surgery764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 937-8778
1861622474PHYSICAL THERAPY & REHABILITATION CENTER LLC
Organization
Physical Therapist764 CAMPBELL AVE SUITE H
WEST HAVEN, CT 06516
(203) 909-6470