| Doctor Name: | MALLASETAPPA SHIRANNA UMAPATHY |
| NPI Number: | 1811912512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 025441 |
| Business Practice Address: | 309 Main St West Haven, CT - 065164424 |
| Business Phone Number: | 2039334001 |
| Business Fax Number: | 2039333759 |
| Mailing Address: | 309 Main St, WEST HAVEN |
| State: | CT |
| Postal Code: | 065164424 |
| Phone Number: | 2039334001 |
| Fax Number: | 2039333759 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 025441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |