DR. KULSOOM HUSSAIN MAUDOODI (NPI# 1104180926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104180926 |
| Entity Type | Individual |
| Full Name | DR. KULSOOM HUSSAIN MAUDOODI |
| Credential | M.D. |
| Practice Address |
100 Hazard Ave Suite 101 Enfield CT 06082-5446 |
| Practice Telephone | 8606962380 |
| Mailing Telephone | 8606962380 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2015-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 054631 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
100 HAZARD AVE SUITE 101 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063429769 | William Bruce Spector | Family Medicine | 100 Hazard Ave, Suite 100, Enfield, CT 06082-5446 | 2006-08-02 |
| 1003439019 | Mary Beth Della Volpe | Specialist/Technologist | 100 Hazard Ave, Enfield, CT 06082-5446 | 2020-05-26 |
| 1033678628 | Benjamin Stralka | Specialist/Technologist | 100 Hazard Ave, Enfield, CT 06082-5446 | 2019-03-14 |
| 1164768255 | Hartford Healthcare Medical Group, Inc | Urology | 100 Hazard Ave, Ste. 206, Enfield, CT 06082-5446 | 2012-12-18 |
| 1407136484 | Hartford Clinical Associates, PC | Urology | 100 Hazard Ave, Suite 206, Enfield, CT 06082-5446 | 2011-08-23 |
| 1194014753 | Oorthopedic Associates of Hartford,pc | Durable Medical Equipment & Medical Supplies | 100 Hazard Ave, Suite 205, Enfield, CT 06082-5446 | 2011-04-05 |
| 1578860334 | Orthopedic Associates of Hartford,pc | Orthopaedic Surgery | 100 Hazard Ave, Suite 205, Enfield, CT 06082-5446 | 2011-02-14 |
| 1275846453 | Connecticut Imaging Partners, LLC | Radiology | 100 Hazard Ave, Enfield, CT 06082-5446 | 2010-07-16 |
| 1023069754 | Jefferson Radiology | Radiology | 100 Hazard Ave, Enfield, CT 06082-5446 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174035844 | Alliance In Internal Medicine, LLC | Internal Medicine | 139 Hazard Ave Ste 2, Enfield, CT 06082-4585 | 2017-11-02 |
| 1306137435 | Kalyan K Pundla | Internal Medicine | 100 Hazard Ave Ste 101, Enfield, CT 06082-5447 | 2011-04-23 |
| 1366776775 | Darshan J Shah Md LLC | Internal Medicine | 139 Hazard Ave Bldg 4, Enfield, CT 06082-4583 | 2009-10-01 |
| 1710964325 | George Donahue | Internal Medicine | 150 Hazard Ave, Enfield, CT 06082-4575 | 2005-12-23 |
| 1457345605 | Howard D Ro | Internal Medicine | 701 Enfield St, Enfield, CT 06082-2961 | 2005-09-02 |
| 1639596752 | Claudia Artime | Internal Medicine | 701 Enfield Street, Enfield, CT 06082 | 2014-03-26 |
| 1851547715 | Dushyant Parikh | Internal Medicine | 146 Hazard Ave, Suite 105, Enfield, CT 06082-4571 | 2008-08-12 |
| 1396907069 | Marat Gitman | Internal Medicine | 5 N Main St, Enfield, CT 06082-3372 | 2008-06-25 |
| 1629259932 | Jaykumar Ranchodbhai Thumar | Internal Medicine | 142 Hazard Ave, Cancer Center, Enfield, CT 06082-4520 | 2007-11-15 |
| 1932206232 | Joseph V Breton | Internal Medicine | 15 Palomba Dr, Suite 13, Enfield, CT 06082-3888 | 2006-09-20 |
| Find all providers in ENFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.