DR. SANDEEP TIYYAGURA (NPI# 1982882882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982882882 |
| Entity Type | Individual |
| Full Name | DR. SANDEEP TIYYAGURA |
| Credential | MD |
| Practice Address |
140 Grandview Ave Suite 101 Waterbury CT 06708-2505 |
| Practice Telephone | 2035979733 |
| Practice Fax Number | 2035979732 |
| Mailing Telephone | 2035979733 |
| Mailing Fax Number | 2035979732 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
048549 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
140 GRANDVIEW AVE SUITE 101 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131152 | Bidarkote Somanath | Pediatrics | 140 Grandview Ave, Suite No 206, Waterbury, CT 06708-2505 | 2005-08-11 |
| 1336437029 | Kathryn Spiess | Advanced Practice Midwife | 140 Grandview Ave, Suite 202, Waterbury, CT 06708-2505 | 2011-07-14 |
| 1679868822 | Stephen S Wallace | Dentist | 140 Grandview Ave, Suite 102, Waterbury, CT 06708-2505 | 2011-06-16 |
| 1245520220 | Eileen Correia-depaola | Massage Therapist | 140 Grandview Ave, Suite 104, Waterbury, CT 06708-2505 | 2011-04-12 |
| 1861704181 | Irida Molla | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2010-07-02 |
| 1104070077 | Leslie Ann Torres | Social Worker | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-11-05 |
| 1962651968 | Connecticut Kidney & Hypertension Specialists, LLC | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-09-15 |
| 1124280631 | Meghan Marie Slemmens | Obstetrics & Gynecology | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-06-26 |
| 1689846719 | David G. Reis Md, LLC | Specialist | 140 Grandview Ave, Suite 204, Waterbury, CT 06708-2505 | 2008-03-28 |
| 1285839282 | Grace Kelley | Registered Nurse | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1205944089 | Anthony J Cusano II | Internal Medicine | 140 Grandview Avenue, Suite L02, Waterbury, CT 06708 | 2006-08-29 |
| 1962651968 | Connecticut Kidney & Hypertension Specialists, LLC | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-09-15 |
| 1841407848 | Joseph L Renda | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2007-05-17 |
| 1407062458 | Anthony Cusano | Internal Medicine | 140 Grandview Ave, Suite Lo2, Waterbury, CT 06708-2505 | 2007-05-15 |
| 1386752160 | Paul H Pronovost | Internal Medicine | 140 Grandview Ave, Ste 101, Waterbury, CT 06708-2505 | 2006-08-29 |
| 1366444135 | Marc A Ciampi | Internal Medicine | 140 Grandview Ave, Suite 104, Waterbury, CT 06708-2505 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962941583 | Robert Bailey | Internal Medicine | 5 Loeffler Rd, Bloomfield, CT 06002-2255 | 2017-02-15 |
| 1144518861 | Andrea Roche Recinos | Internal Medicine | 111 Osborne St Ste 210, Danbury, CT 06810-6031 | 2011-07-14 |
| 1386805299 | Sujata Kale | Internal Medicine | 411 Robin Ct, Cheshire, CT 06410-2427 | 2008-06-23 |
| 1881855021 | Peter Uri Feig | Internal Medicine | 396 Vineyard Point Rd, Guilford, CT 06437-3255 | 2008-06-20 |
| 1679757629 | William Gee Chang | Internal Medicine | Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 | 2007-12-27 |
| 1619031796 | Southeastern Ct Nephrology Assoc PC | Internal Medicine | 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 | 2006-12-21 |
| 1518937622 | Nazanine Khairkhah | Internal Medicine | 49 Lake Ave Ste 1b, Greenwich, CT 06830-4501 | 2006-01-23 |
| 1205816311 | Jennifer L. Rivers | Internal Medicine | 550 Main Street, Hartford City Town Hall, Hartford, CT 06103 | 2006-01-17 |
| 1558346056 | Daniel I Geisser | Internal Medicine | 55 Lock St, Yale Health, New Haven, CT 06511-3603 | 2005-12-07 |
| 1275518771 | Stephen J Huot | Internal Medicine | 789 Howard Avenue, Dana Building 3rd Floor, New Haven, CT 06510-8056 | 2005-12-07 |
| 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.