Provider Demographics
NPI:1114085016
Name:HAOUES-BROWN, THOURYA (MD)
Entity Type:Individual
Prefix:DR
First Name:THOURYA
Middle Name:
Last Name:HAOUES-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THOURYA
Other - Middle Name:
Other - Last Name:HAOUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:246 FEDERAL RD
Mailing Address - Street 2:UNIT C-32
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2647
Mailing Address - Country:US
Mailing Address - Phone:203-740-9099
Mailing Address - Fax:203-740-9097
Practice Address - Street 1:246 FEDERAL RD
Practice Address - Street 2:UNIT C-32
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2647
Practice Address - Country:US
Practice Address - Phone:203-740-9099
Practice Address - Fax:203-740-9097
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038144207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001381441Medicaid
CT001381441Medicaid
110009605Medicare ID - Type Unspecified