Internal Medicine Of West Haven Llc
LBN: Internal Medicine Of West Haven Llc
Internal Medicine Of West Haven Llc is an health care organization with primary practice located at 764 Campbell Ave Suite E, West Haven CT 06516-3786. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Internal Medicine Of West Haven Llc can be contacted via phone (203) 931-0034, or through Gupta, Piyush via phone (203) 931-0034.
Contact Information
Primary practice address
764 Campbell Ave Suite E
West Haven CT 06516-3786
Phone: (203) 931-0034
Fax: (203) 931-8225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X |
Profile Details
| NPI number | 1003005703 |
|---|---|
| LBN Legal business name | Internal Medicine Of West Haven Llc |
| DBA Doing business as | |
| Authorized official | Gupta, Piyush Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Apr 3rd, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003005703 | NPPES |
| Connecticut | MEDICAID | 001359844 | |
| Connecticut | MEDICAID | 008080626 |
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