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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265669089 | NPPES |
| Connecticut | Other | 047262 | LICENSE |
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