Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Branhaven Medical Group LLC

Organization Internal Medicine Physician · NPI 1558303107

Branhaven Medical Group LLC is an Internal Medicine Physician in Branford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

251 W Main St Lakeview Ctr
Branford, CT 06405-4047
Phone: (203) 481-0077
Fax: (203) 481-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 032669 (CT)

Record details

NPI number1558303107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prathibha Kumar — President · (203) 481-0077
NPI enumeratedJune 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address251 W Main St, Lakeview Center, Branford, CT 06405-4047

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