Modwel, Kumkum

Modwel, Kumkum is an individual health care provider with primary practice located at 895 E Main St , Torrington CT 06790-3918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Modwel, Kumkum can be contacted via phone (860) 489-1291.

Contact Information

Primary practice address
895 E Main St Torrington CT 06790-3918
Fax: (860) 489-1804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 039256 Connecticut

Profile Details

NPI number 1720011943
LBN Legal business name Modwel, Kumkum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Feb 25th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720011943 NPPES
Connecticut MEDICAID 001392563

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