Fernando, Kumudhini
Fernando, Kumudhini is an individual health care provider with primary practice located at 687 Campbell Ave , West Haven CT 06516-3774. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fernando, Kumudhini can be contacted via phone (203) 932-6481.Contact Information
Primary practice address
687 Campbell Ave
West Haven CT 06516-3774
Phone: (203) 932-6481
Fax: (203) 932-4051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 016797 | Connecticut |
Profile Details
| NPI number | 1306842133 |
|---|---|
| LBN Legal business name | Fernando, Kumudhini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Dec 4th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306842133 | NPPES |
| Connecticut | Other | 001167972 | RAILROAD MEDICARE |
| Connecticut | Other | 016797 | RAILROAD MEDICARE |
| Connecticut | Other | 0V7684 | RAILROAD MEDICARE |
| Connecticut | Other | 010016797CT01 | RAILROAD MEDICARE |
| Connecticut | Other | P778776 | RAILROAD MEDICARE |
| Connecticut | Other | 2671960 | RAILROAD MEDICARE |
| Connecticut | MEDICAID | 001167972 | RAILROAD MEDICARE |
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