DR. ASHUTOSH PATHAK (NPI# 1114121423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114121423 |
Entity Type | Individual |
Full Name | DR. ASHUTOSH PATHAK |
Practice Address |
Veteran Affairs Medical Center 950 Campell Avenue West Haven CT 06516 |
Mailing Address |
750 Whitney Ave Aptt# C 12 New Haven CT 06511-1358 |
Practice Telephone | 2039325711 |
Mailing Telephone | 2033143259 |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085B0100X |
Radiology Specialization: Body Imaging |
4301088965 | MI | Allopathic & Osteopathic Physicians |
X | 2085N0700X |
Radiology Specialization: Neuroradiology |
4301088965 | MI | Allopathic & Osteopathic Physicians |
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301088965 | MI | Allopathic & Osteopathic Physicians |
X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301088965 | MI | Allopathic & Osteopathic Physicians |
X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
4301088965 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346471927 | Ashutosh Pathak | Student in an Organized Health Care Education/Training Program | 1111 Columbus St, Suite 1200, Bakersfield, CA 93305-1936 | 2009-07-30 |
Street Address |
VETERAN AFFAIRS MEDICAL CENTER 950 CAMPELL AVENUE |
City | WEST HAVEN |
State | CT |
Zip Code | 06516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
Find all providers in zip 06516 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487815502 | Marcia Menezes Walker | Radiology | 5738 Main St, Trumbull, CT 06611-3136 | 2008-06-20 |
1528170198 | Yvette D. Bailey | Radiology | 58 High Gate Dr, Avon, CT 06001-4111 | 2006-08-31 |
1659393247 | Paolo Olcese | Radiology | 385 Main St S, C/o Nvra Imaging Network, Union Square, Southbury, CT 06488-4240 | 2006-07-24 |
1033130729 | Marie Yanez | Radiology | 25 Glen Ridge Rd # 31155, Greenwich, CT 06831-3641 | 2006-07-21 |
1205495850 | Radiology Associates of Hartford PC | Radiology | 673 Cottage Grove Rd, Bloomfield, CT 06002-3033 | 2019-06-07 |
1215311386 | Jia Rong Chong | Radiology | 333 Cedar Street, New Haven, CT 06520 | 2015-07-17 |
1518269091 | Connecticut Valley Radiology, PC | Radiology | 19 Woodland St, Suite 15, Hartford, CT 06105-2372 | 2010-12-03 |
1801100367 | Swapnil S Bagade | Radiology | 1000 Asylum Ave, Suite 3201e, Hartford, CT 06105-1770 | 2010-07-27 |
1689835688 | Radiology Associates of Hartford PC | Radiology | 1000 Asylum Ave, Suite 3201e, Hartford, CT 06105-1770 | 2008-06-23 |
1114185063 | Yale University | Radiology | 20 York St, Yale-new Haven Hospital South Pavilion - 2nd Fl, New Haven, CT 06510-3220 | 2008-05-28 |
Find all providers with the same taxonomy |
City | WEST HAVEN |
Zip Code | 06516 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.