SOUTHWEST CONNECTICUT RADIOLOGY, LLC


Address: 30 Shelburne Rd, Stamford, CT 06902-3628
Phone: 2032761000

SOUTHWEST CONNECTICUT RADIOLOGY, LLC (NPI# 1770852667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770852667
Entity Type Organization
Organization Name SOUTHWEST CONNECTICUT RADIOLOGY, LLC
Practice Address 30 Shelburne Rd
Stamford
CT 06902-3628
Practice Telephone 2032761000
Mailing Telephone 2032761000
Enumeration Date 2011-12-21
Last Update Date 2011-12-21
Authorized Official Name SHARON KIELY (OWNER)
Authorized Official Telephone 2032761000
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations SOUTHWEST CONNECTICUT RADIOLOGY, LLC 30 Shelburne Rd, Stamford, CT 06904

Office Location

Street Address 30 SHELBURNE RD
City STAMFORD
State CT
Zip Code 06902-3628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558351759 Bo Xu Pathology 30 Shelburne Rd, Stamford, CT 06902-3628 2005-10-27
1518311984 Pankil Desai Student in an Organized Health Care Education/Training Program 30 Shelburne Rd, Stamford, CT 06902-3628 2016-04-21
1033571229 Rami Al-aref Surgery 30 Shelburne Rd, Stamford, CT 06902-3628 2016-03-25
1508228198 Borna Dabiri Student in an Organized Health Care Education/Training Program 30 Shelburne Rd, Stamford, CT 06902-3628 2016-03-23
1073971735 Tyler Ferraro Physician Assistant 30 Shelburne Rd, Stamford, CT 06902-3628 2016-02-09
1376901256 Vanie Mangal Physician Assistant 30 Shelburne Rd, Stamford, CT 06902-3628 2016-02-05
1487023115 Cynthia Degracia Spec/Tech, Pathology 30 Shelburne Rd, Stamford, CT 06902-3628 2015-09-23
1154708873 Kelly Fellows Obstetrics & Gynecology 30 Shelburne Rd, Stamford, CT 06902-3628 2015-05-01
1932595360 Somera Chaudhry Internal Medicine 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 2015-04-13
1043606486 Chao Guo Internal Medicine 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 2015-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861043242 Palak Bhambri Pharmacist 537 Canal Street, Stamford, CT 06902 2019-09-26
1730654815 Brenice Duroseau Nurse Practitioner 292 Long Ridge Rd Ste 202, Stamford, CT 06902 2018-10-04
1447732862 Ngoc Lam Pharmacist 1990 West Main Street, Stamford, CT 06902 2018-09-01
1336627264 Margaret F Gorelick Nurse Practitioner Stamford Health, One Hospital Plaza, Stamford, CT 06902 2018-08-02
1174053425 Ashley Marie Santana Social Worker 110 Commons Park N Apt 1158, Stamford, CT 06902 2017-06-19
1578090395 Anas Al-sabbagh Dentist 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 2017-05-11
1154862936 Hillary Rubin Psychologist 44 Commerce Avenue, Stamford, CT 06902 2017-03-14
1801332135 Walgreen Co Durable Medical Equipment & Medical Supplies 1 Hospital Plz Ste G122, Stamford, CT 06902 2017-01-10
1932563277 Mary Hurtadodemendoza Pharmacist 59 Courtland Ave 2m, Stamford, CT 06902 2016-04-13
1235592247 Advanced Therapy and Performance LLC Physical Medicine & Rehabilitation 75 Selleck Street, Stamford, CT 06902 2016-03-29
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760964001 Integrated Health Administrative Services, Inc. Radiology 1011 Hope St Ofc E, Stamford, CT 06907-2121 2018-09-04
1083863617 Tal Baruch Delman Radiology 75 Tresser Blvd, Apt 476, Stamford, CT 06901-3329 2008-09-18
1689620569 William Harley Radiology 6 Shelburne Rd, Stamford, CT 06902-3628 2006-05-25
1588618540 Stamford Radiological Associates Radiology 76 Progress Dr, Stamford, CT 06902-3600 2006-05-22
1588636732 Dmitry Bolkhovets Radiology 67 Dora St Apt 3, Stamford, CT 06902-5414 2006-02-02
1063405819 Mark A Edelman Radiology 1290 Summer St Ste 2100, Stamford, CT 06905-5340 2005-08-26
1144212481 Amy H Sherman Radiology 32 Strawberry Hill Ct Fl 2, Stamford, CT 06902-2594 2005-08-22
1346883923 Stamford Hospital District Radiology 1601 Columbia St, Stamford, TX 79553-6863 2019-10-25
1083057061 Jessica Danielle Kondraciuk Radiology 32 Strawberry Hill Ct Fl 2, Stamford, CT 06902 2013-04-09
1316291164 Aris Radiology Professionals of Michigan PC Radiology 1 Hospital Plz, Stamford, CT 06902-3602 2012-11-01
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Competitor

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City STAMFORD
Zip Code 06902

Improve Information

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Dataset Information

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.

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