Mallasetappa S. Umapathy


Address: 309 Main St, West Haven, CT 06516-4424

Mallasetappa S. Umapathy (NPI# 1811912512, PAC ID# 1254529514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1811912512
PAC ID by PECOS 1254529514
Professional Enrollment ID I20101230000736
Full Name Mallasetappa S. Umapathy
Address 309 Main St
West Haven
CT 06516-4424
Gender M
Graduation Year 1970
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Other Locations

Address Phone Organization
309 Main St, West Haven, CT 06516-4424

Organization Information

Office Location

Street Address 309 MAIN ST
City WEST HAVEN
State CT
Zip 06516-4424

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Competitor

Search similar physicians

City WEST HAVEN
Zip Code 06516
Specialty GENERAL PRACTICE
City + Specialty WEST HAVEN + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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