Organization
INTERNAL MEDICINE OF WEST HAVEN LLC
Active
Organization
INTERNAL MEDICINE OF WEST HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIYUSH GUPTA MD (CEO)
(203) 931-0034
Entity
Organization
Contact information
Practice address
764 CAMPBELL AVE, SUITE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
(203) 931-8225
Mailing address
764 CAMPBELL AVE, WEST HAVEN, CT 06516-3786
(203) 931-0034
(203) 931-8225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359844
—
CT
05
—
008080626
—
CT
05
—
008117274
—
CT
05
—
008118533
—
CT
05
—
008119896
—
CT
Enumeration date
10/18/2007
Last updated
08/24/2026
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