Organization
GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLASETAPPA SHIRANNA UMAPATHY M.D. (PHYSICIAN/OWNER)
(203) 933-4001
Entity
Organization
Contact information
Practice address
309 MAIN ST, WEST HAVEN, CT 06516-4424
(203) 933-4001
(203) 933-3759
Mailing address
309 MAIN ST, WEST HAVEN, CT 06516-4424
(203) 933-4001
(203) 933-3759
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
025441
CT
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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