DR. SHALIN KIRAN KOTHARI (NPI# 1417391525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417391525 |
| Entity Type | Individual |
| Full Name | DR. SHALIN KIRAN KOTHARI |
| Credential | MD |
| Practice Address |
35 Park St New Haven CT 06519 |
| Mailing Address |
35 Park St New Haven CT 06519-1110 |
| Practice Telephone | 2036884242 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
64220 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 E Adams St, Syracuse, NY 132102342 | 3154645240 | 3154643751 |
| Elm and Carlton Streets, Buffalo, NY 142632342 | 7168452300 |
| Street Address |
35 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716862 | Daniela Gidea-addeo | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2005-08-03 |
| 1356974471 | Jason Jesus Casazola | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2020-02-17 |
| 1639737034 | Beth Ann Wilson | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2019-05-31 |
| 1013575646 | Barbara Cmuchowski | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2019-05-29 |
| 1235600107 | Leesha Kay Gunnink | Physician Assistant | 35 Park St, New Haven, CT 06519-1110 | 2018-12-17 |
| 1881120723 | Jamie R Malette | Nurse Practitioner | 35 Park St, New Haven, CT 06519-1110 | 2017-05-11 |
| 1467811083 | Matthew Harrison Dodd | Physician Assistant | 35 Park St, 8th Floor, New Haven, CT 06519-1110 | 2016-02-11 |
| 1366824336 | Joy Mullins Byrne | Physician Assistant | 35 Park St, New Haven, CT 06519-1110 | 2015-06-25 |
| 1821417627 | Andrew Zhang | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2014-04-09 |
| 1376989160 | Timothy Daily Murtha | Student in an Organized Health Care Education/Training Program | 35 Park St, New Haven, CT 06519-1110 | 2013-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659387306 | Daniel Peter Petrylak | Internal Medicine | 35 Park Street, Np-4, New Haven, CT 06510-1110 | 2006-08-01 |
| 1003846502 | Leonard Raymond Farber | Internal Medicine | 333 Cedar St., Fmp 113, New Haven, CT 06520 | 2006-07-03 |
| 1780114751 | Lauren Marsh Shevell | Internal Medicine | 20 York St., Ynhh, New Haven, CT 06520-8025 | 2017-06-13 |
| 1205255619 | Kathleen Fenn | Internal Medicine | 333 Cedar St, New Haven, CT 06510-3206 | 2014-04-14 |
| 1831417773 | Tarsheen Kaur Sethi | Internal Medicine | 35 Park St, New Haven, CT 06519-1110 | 2010-05-15 |
| 1295963387 | Emily Collier | Internal Medicine | 20 York Street, Department of Hematology/oncology, New Haven, CT 06510-3220 | 2009-06-26 |
| 1407021140 | Iris Isufi | Internal Medicine | 20 York Street, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-04-24 |
| 1831372481 | Walid Labib Shaib | Internal Medicine | 1450 Chapel St, Hospital of Saint Raphael, New Haven, CT 06511-4405 | 2007-12-06 |
| 1548441157 | Matthew Perry Strout | Internal Medicine | 20 York Street, Ynh Medical Services, PC, New Haven, CT 06510 | 2007-11-26 |
| 1285825232 | Terri Lynn Parker | Internal Medicine | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2007-08-06 |
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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.