| NPI | 1104180926 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-06-26 |
| Last Updated | 2015-12-22 |
| Mailing Address | 100 Hazard Ave, Suite 101 Enfield, CT 06082-5446 United States Phone: (860) 696-2380 📍 View Map |
| Primary Practice Address | 100 Hazard Ave, Suite 101 Enfield, CT 06082-5446 United States Phone: (860) 696-2380 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | CT | 054631 |
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About NPI 1104180926
Kulsoom Hussain Maudoodi M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104180926. The primary specialty listed is Internal Medicine. The provider is located in Enfield, CT. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104180926?
NPI 1104180926 belongs to Kulsoom Hussain Maudoodi M.D., a Internal Medicine in Enfield, CT. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104180926 active?
The current status of NPI 1104180926 in the NPPES registry is Active. The record was last updated on 2015-12-22.
What specialty is NPI 1104180926?
NPI 1104180926 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104180926?
You can verify NPI 1104180926 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104180926?
The primary practice address on file for NPI 1104180926 is 100 Hazard Ave, Enfield, CT 06082-5446. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104180926 issued?
NPI 1104180926 was first issued (enumerated) on 2012-06-26. The NPPES record was last updated on 2015-12-22.
Practice Location Map
Kulsoom Hussain Maudoodi is located at 100 Hazard Ave, Enfield, CT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kulsoom Hussain Maudoodi. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104180926. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 054631 | CT |