Bhoomagoud, Madhavi

Bhoomagoud, Madhavi is an individual health care provider with primary practice located at 455 Lewis Ave Suite 105, Meriden CT 06451-2121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Bhoomagoud, Madhavi can be contacted via phone (203) 237-2477.

Contact Information

Primary practice address
455 Lewis Ave Suite 105 Meriden CT 06451-2121
Phone: (203) 237-2477
Fax: (203) 238-1839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047262 Connecticut
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 047262 Connecticut

Profile Details

NPI number 1265669089
LBN Legal business name Bhoomagoud, Madhavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Jul 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265669089 NPPES
Connecticut Other 047262 LICENSE

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