Individual
HISHAM AL KUKHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, INTERNAL MEDICINE, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
64253
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2017
Last updated
07/30/2020
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