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NPI Code Detail

MEDICARE: MR. ROUNAK BABULA RAWAL M.D.

MEDICARE: MR. ROUNAK BABULA RAWAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician64080CT
2207YP0228XPediatric Otolaryngology Physician64080CT

General Provider Information

NPI Number : 1457799231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROUNAK BABULA RAWAL M.D.
Provider Business Mailing Address
First Line : 230 BOSTON POST ROAD
Second Line :
City : MADISON
State : CT
Zip : 06443-2225
Country : US
Telephone Number : 203-245-0496
Fax Number : 203-245-8697
Provider Business Practice Location Address
First Line : 230 BOSTON POST ROAD
Second Line :
City : MADISON
State : CT
Zip : 06443-2225
Country : US
Telephone Number : 203-245-0496
Fax Number : 203-245-8697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 01/26/2026

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