SHANTHI DEVARAJ, M.D., LLC (NPI# 1871803650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871803650 |
| Entity Type | Organization |
| Organization Name | SHANTHI DEVARAJ, M.D., LLC |
| Practice Address |
1400 Bedford St Stamford CT 06905-5200 |
| Practice Telephone | 2033238700 |
| Practice Fax Number | 2033231785 |
| Mailing Telephone | 2033238700 |
| Mailing Fax Number | 2033231785 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | DR. SHANTHI DEVARAJ (MEMBER) |
| Authorized Official Telephone | 2033238700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036375 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1400 BEDFORD ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895503 | Larisa Berman | Speech-Language Pathologist | 1400 Bedford St, St #2, Stamford, CT 06905-5200 | 2005-07-15 |
| 1063565844 | Shanthi Devaraj | Family Medicine | 1400 Bedford St, Stamford, CT 06905-5200 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607056 | Ashley Rountree | Family Medicine | 32 Strawberry Hill Ct # 6, Stamford, CT 06902-2594 | 2016-05-24 |
| 1457761512 | Lidya Alexander Bal | Family Medicine | 32 Strawberry Hill Ct Fl 4, Stamford, CT 06902-2594 | 2014-04-29 |
| 1154633980 | Stamford Health Medical Group, Inc. | Family Medicine | One Omega Drive, Building 3, 2nd Floor, Stamford, CT 06907 | 2010-07-09 |
| 1427213958 | Dionne K Smith | Family Medicine | 805 Atlanctic St, Stamford, CT 06902 | 2008-07-24 |
| 1700041118 | Emoliere Chanel Williams | Family Medicine | 1450 Washington Blvd # 103, Stamford Health Integrated Practices Inc., Stamford, CT 06902-2451 | 2008-07-24 |
| 1528231552 | Andrew Killen | Family Medicine | 90 Morgan St Ste 108, Stamford, CT 06905-5436 | 2008-04-10 |
| 1376739730 | Boris Mayzler D.o.llc | Family Medicine | 144 Morgan St Ste 1, Stamford, CT 06905-5433 | 2007-09-19 |
| 1053479998 | Efraim Gomez Zapata | Family Medicine | 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902-8504 | 2006-12-04 |
| 1336249564 | Halli Greer Zung | Family Medicine | 992 High Ridge Rd, Stamford, CT 06905 | 2006-09-25 |
| 1780791822 | Family Medicine Associates of Stamford, P.C. | Family Medicine | 1450 Washington Blvd, Suite 103, Stamford, CT 06902-2451 | 2006-08-24 |
| Find all providers in STAMFORD | ||||
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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.