Mallasetappa Shiranna Umapathy, MD is a medicare enrolled "General Practice" physician in West Haven, Connecticut. His current practice location is
309 Main St, West Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 933-4001.
Mallasetappa Shiranna Umapathy is licensed to practice in Connecticut (license number 025441) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811912512.
Physician's Profile
| Full Name | Mallasetappa Shiranna Umapathy |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 309 Main St, West Haven, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811912512
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 06/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 1254529514
- Enrollment ID: I20101230000736
Medical Identifiers
Medical identifiers for Mallasetappa Shiranna Umapathy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811912512 | NPI | - | NPPES |
| 001254416 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 025441 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallasetappa Shiranna Umapathy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mallasetappa Shiranna Umapathy, MD 309 Main St, West Haven, CT 06516-4424 Ph: (203) 933-4001 | Mallasetappa Shiranna Umapathy, MD 309 Main St, West Haven, CT 06516-4424 Ph: (203) 933-4001 |
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