SOURYA RANJAN MAHAPATRA (NPI# 1457448086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457448086 |
| Entity Type | Individual |
| Full Name | SOURYA RANJAN MAHAPATRA |
| Credential | M.D. |
| Practice Address |
Nashua Center for Healthy Aging 280 Main St., #210a Nashua NH 03060 |
| Mailing Address |
280 Main St Ste 210a Nashua NH 03060-2920 |
| Practice Telephone | 6035773080 |
| Mailing Telephone | 6035773080 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
12394 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30204441 | 05 |
| Street Address |
NASHUA CENTER FOR HEALTHY AGING 280 MAIN ST., #210A |
| City | NASHUA |
| State | NH |
| Zip Code | 03060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956368 | Cyrille P Cucio | Internal Medicine | 17 Riverside St, Suite 202, Nashua, NH 03062-1304 | 2005-07-21 |
| 1427290246 | The Roger Dionne Senior Center | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336219823 | Bejoy B Kundu | Internal Medicine | 3 Denny Hill Road, Warner, NH 03278 | 2006-11-09 |
| 1275508988 | Manish Chopra | Internal Medicine | Senior Health Primary Care, 138 Webster Street, Manchester, NH 03104 | 2006-02-17 |
| 1942291158 | Raphael Farra | Internal Medicine | 300 Kearney Cir, Manchester, NH 03104-1816 | 2005-11-04 |
| 1770966962 | Michael Keuroghlian | Internal Medicine | 590 Court St, Keene, NH 03431 | 2015-07-07 |
| 1477991107 | Agata Marszalek Litauska | Internal Medicine | 789 Central Ave, Dover, NH 03820-2526 | 2013-06-04 |
| 1245597442 | Rebecca Scott Crow | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Geriatrics, Lebanon, NH 03756-1000 | 2012-04-12 |
| 1730319633 | Lyn Singer Lindpaintner | Internal Medicine | 248 Pleasant St, Suite 2800, Concord, NH 03301-2588 | 2009-07-27 |
| 1740410505 | Keron Babu Navarengom | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102-3730 | 2009-07-15 |
| 1295904399 | Peter S Dicks | Internal Medicine | 928 South St, Edgewood Ctr, Portsmouth, NH 03801 | 2008-02-22 |
| 1912101171 | Lisa Ann Leinau | Internal Medicine | 590 Court St, Keene, NH 03431-1719 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
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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.