NPI 1417955923

West Haven Medical Group, LLC

Organisation Internal Medicine Physician West Haven, CT

Practice location

Address: 687 Campbell Ave, West Haven, CT 06516-3774
Phone: (203) 932-6481
Fax: (203) 932-4051

Authorised official

Name: Anuruddha Walaliyadda
Title: Managing Partner
Phone: (203) 932-6481

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 016636 (CT)

Other Internal Medicine providers in Connecticut →

Adult Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 016797 (CT)

Other Family Medicine providers in Connecticut →

Registry record

NPI: 1417955923
Entity type: Organization
NPI issued: 8 Jul 2005
Record last updated: 21 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.