Individual
DR. KUSUMA HAMPAPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6007
Mailing address
322 E MAIN ST, SUITE 1B, BRANFORD, CT 06405-3136
(203) 488-7228
(203) 404-0480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042556
CT
207R00000X
Internal Medicine Physician
291647
NY
208M00000X
Hospitalist Physician
042556
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425562
—
CT
01
—
042556
CT PHYSICIAN LICENSE
CT
01
—
34966
CT CSR
CT
Enumeration date
12/28/2006
Last updated
03/07/2023
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