Dr. Candi McCulloch, MD
Internal Medicine in Waterford, CT. Individual provider (NPI-1).
NPI number1295099372
StatusActive
Last updated in NPPESJul 3, 2012
Details
- NPI
- 1295099372
- Entity type
- Individual (NPI-1)
- Name
- Dr. Candi McCulloch
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2012
- Last updated
- Jul 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 050188 | CT | Yes |
Practice location
38 Shawandassee RdWaterford, CT 06385-1419
Phone 860-961-6229
Mailing address
38 Shawandassee RoadWaterford, CT 06358-1419
Phone 860-961-6229
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Other Internal Medicine Physician providers in Waterford, CT
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