WEST HAVEN MEDICAL GROUP, LLC
NPI 1417955923
Internal Medicine in West Haven, CT

Active since July 08, 2005
687 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-6481(203) 932-4051 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Haven Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST HAVEN MEDICAL GROUP, LLC (NPI 1417955923) is a healthcare organization registered as an internal medicine in West Haven, Connecticut and active in the NPI registry since July 2005. The organization lists Anuruddha Walaliyadda, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1417955923
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST HAVEN MEDICAL GROUP, LLC
Location Address687 CAMPBELL AVEWest Haven, CT 06516-3774
Mailing Address687 Campbell AveWest Haven, CT 06516-3774 · (203) 932-6481 · Fax (203) 932-4051
Fax(203) 932-4051
Organization SubpartNo
Authorized OfficialAnuruddha WalaliyaddaManaging Partner · (203) 932-6481
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 21, 2014
NPI 1417955923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 016636
Definition
A 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.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 016797 (CT)
687 CAMPBELL AVE, West Haven, CT 06516

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Family Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Acute Care)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Haven Medical Group, LLC's NPI number?

The NPI number for West Haven Medical Group, LLC is 1417955923. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is West Haven Medical Group, LLC located?

West Haven Medical Group, LLC is located at 687 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-6481.

What is West Haven Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for West Haven Medical Group, LLC was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.