Natalie Poonam Dequillfeldt, MD, MA
Internal Medicine in Branford, CT. Individual provider (NPI-1).
NPI number1710568258
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1710568258
- Entity type
- Individual (NPI-1)
- Name
- Natalie Poonam Dequillfeldt
- Credential
- MD, MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2021
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | DR.0073199 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 80967 | CT |
Other names
- Natalie Poonam Phagu (Former Name)
Practice location
500 E Main St Ste 212Branford, CT 06405-2937
Phone 203-481-5665 · Fax 203-481-2018
Mailing address
500 E Main St Ste 212Branford, CT 06405-2937
Phone 203-481-5665 · Fax 203-481-2018
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