MR. KAUTILYA SHAURYA (NPI# 1639598576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639598576 |
| Entity Type | Individual |
| Full Name | MR. KAUTILYA SHAURYA |
| Credential | M.D., M.B.A |
| Practice Address |
217 Havemeyer St Fl 5 Brooklyn NY 11211 |
| Mailing Address |
2701 Queens Plz N Fl 10 Long Island City NY 11101-4022 |
| Practice Telephone | 2122833000 |
| Mailing Telephone | 3055851111 |
| Mailing Fax Number | 3055858137 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 294708 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Nw 12th Ave, Central Building, Room 600d (r-60), Miami, FL 331361005 | 3055851111 | 3055858137 |
| 153 E 88th St, New York, NY 101282270 | 2122833000 |
| Street Address |
217 HAVEMEYER ST FL 5 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780014571 | Suzanne Valerie Cohen | Physician Assistant | 217 Havemeyer St Fl 5, Brooklyn, NY 11211-6288 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144684614 | Meagan Sara Keefe | Dermatology | 32 Court St Ste 302, Brooklyn, NY 11201-4408 | 2016-04-11 |
| 1215331228 | Centurion Dermatology PC | Dermatology | 6811 Fort Hamilton Parkway, Brooklyn, NY 11219 | 2014-10-20 |
| 1215349394 | Gladstein Medical Care PC | Dermatology | 1946 Coney Island Ave, Suite 3, Brooklyn, NY 11223-2329 | 2014-05-23 |
| 1578829198 | Sameer Bashey | Dermatology | 387 6th Ave, Brooklyn, NY 11215-3309 | 2012-04-09 |
| 1588938807 | Rachel Rubinstein | Dermatology | 1476 54th St, Brooklyn, NY 11219-4227 | 2012-03-05 |
| 1861775462 | Daniel J Tanner | Dermatology | 1401 55 Street, 5b, Brooklyn, NY 11219 | 2011-09-21 |
| 1639485469 | Aln Medical PC | Dermatology | 7819 Bay Pkwy, Brooklyn, NY 11214-1507 | 2010-08-31 |
| 1053622464 | Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Dermatology | 1717 86 St, Brooklyn, NY 11214-2817 | 2010-06-30 |
| 1083934087 | Karen Laura Hammerman | Dermatology | 2408 Ocean Ave, Brooklyn, NY 11229-3565 | 2010-06-02 |
| 1073740460 | Irene Josephine Vergilis-kalner | Dermatology | 2727 Ocean Pkwy Ste L1, Brooklyn, NY 11235-7848 | 2009-06-12 |
| Find all providers in BROOKLYN | ||||
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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.