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Contact Information

RAJIV M MALLIPUDI, MD
267 GRANT ST
BRIDGEPORT, CT06610
 Phone: 203-384-4677
 Fax: 203-384-3135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RAJIV M MALLIPUDI · (Male)

NPI Number 1760845747
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2016
Last updated 02/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 62105
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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