General Medical Practice of West Haven LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

025441 Issued in CT

Legal business name

GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC

Practice address

309 Main St
West Haven, CT 06516-4424

Phone

(203) 933-4001

Fax

(203) 933-3759

NPI assigned

Nov 18, 2010

Last updated

Nov 18, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mallasetappa Shiranna Umapathy, M.D.NPI 1811912512

Title

Physician/Owner

Phone

(203) 933-4001

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallasetappa Shiranna Umapathy, MD

  • General Practice Physician
  • West Haven, CT
  • NPI 1811912512
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1285936559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164424",
            "telephone_number": "203-933-4001",
            "fax_number": "203-933-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164424",
            "telephone_number": "203-933-4001",
            "fax_number": "203-933-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "UMAPATHY",
        "authorized_official_first_name": "MALLASETAPPA",
        "authorized_official_middle_name": "SHIRANNA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "203-933-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "025441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen B Gechlik, MD
• Nicole Gee, PHARMD/MBA
• Joel Gelernter, MD
• David Steven Geller, MD
• Erica Lynn Gemmell, APRN
• Alison George
• Joshua H Gertler, PHD
• Mohammed Imran Riaz Ghare, MD
• Chanae Aapri Gholston, LPN
• Carly J. Gibbons, PH.D.

• General Practice Physician in West Haven, CT
• Providers in West Haven, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.