Individual
KHURAM R GHUMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, CPE, FAAFP
Contact information
Practice address
13 CHURCH ST, EAST GRANBY, CT 06026-9406
(860) 653-4526
(860) 653-5209
Mailing address
13 CHURCH ST, PO BOX 518, EAST GRANBY, CT 06026-9406
(860) 653-4526
(860) 653-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51860
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447384326
NPI
—
Enumeration date
03/15/2007
Last updated
11/09/2016
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