Healthcare Provider Details

I. General information

NPI: 1407788136
Provider Name (Legal Business Name): SALMA QUDRAT M.D., M.B.B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 ROBBINS STREET WATERBURY HOSPITAL
WATERBURY CT
06708
US

IV. Provider business mailing address

263 FARMINGTON AVENUE
FARMINGTON CT
06030
US

V. Phone/Fax

Practice location:
  • Phone: 203-573-6162
  • Fax: 203-573-6707
Mailing address:
  • Phone: 860-679-2147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: