NPI 1053847780

Fafa Huberta Koudoro, MD

Practitioner Diagnostic Radiology Physician Wethersfield, CT

Practice location

Address: 1260 Silas Deane Hwy STE 104, Wethersfield, CT 06109-4363
Phone: (860) 289-3375
Mailing address: 100 Hazard Ave STE 100, Enfield, CT 06082-5447

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 72410 (CT)

Other Radiology providers in Connecticut →

Registry record

NPI: 1053847780
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2017
Record last updated: 24 Apr 2026

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.