Individual provider · Type 1 NPI

Fafa Huberta Koudoro, MD

Diagnostic Radiology Physician · Wethersfield, CT

NPI number 1053847780 Active

Practice location

1260 Silas Deane Hwy Ste 104
Wethersfield, CT 06109-4363

Call (860) 289-3375 Map

Mailing address

100 Hazard Ave Ste 100
Enfield, CT 06082-5447

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X72410 (CT)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1053847780

Fafa Huberta Koudoro, MD's National Provider Identifier is 1053847780, issued on May 1, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Wethersfield, CT. The record was last updated on Apr 24, 2026.