| Dr Kusuma Hampapur, MD | |
|
46 Albion St, Bridgeport, CT 06605-2602 | |
| (203) 330-6000 | |
| (203) 330-6007 |
| Full Name | Dr Kusuma Hampapur |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 46 Albion St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346306008 | NPI | - | NPPES |
| 001425562 | Medicaid | CT | |
| 34966 | Other | CT | CT CSR |
| 042556 | Other | CT | CT PHYSICIAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 291647 (New York) | Secondary |
| 208M00000X | Hospitalist | 042556 (Connecticut) | Secondary |
| 207R00000X | Internal Medicine | 042556 (Connecticut) | Primary |
| Entity Name | South-west Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699703686 PECOS PAC ID: 2466445200 Enrollment ID: O20040420001098 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kusuma Hampapur, MD 322 E Main St, Suite 1b, Branford, CT 06405-3136 Ph: (203) 488-7228 | Dr Kusuma Hampapur, MD 46 Albion St, Bridgeport, CT 06605-2602 Ph: (203) 330-6000 |
Mitchell Andrew Fogel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 900 Madison Ave, Suite 209, Bridgeport, CT 06606 Phone: 203-335-0195 Fax: 203-335-7293 | |
Christian Heineken, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606 Phone: 203-373-9100 Fax: 203-365-8492 | |
Pasquale Masone, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606 Phone: 203-373-9100 Fax: 203-365-8492 | |
Kevin B Panzer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1381 Reservoir Ave., Bridgeport, CT 06606 Phone: 203-371-5197 | |
Ms. Lucia Plichtova, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 267 Grant Street, Bridgeport, CT 06610 Phone: 203-384-3792 | |
Hilda Daureen Kyotakoze, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4920 Main St Fl 2, Bridgeport, CT 06606 Phone: 203-371-2986 | |
Karen A Hutchinson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829 |