MADHAVI GORUSU (NPI# 1982894697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982894697 |
Entity Type | Individual |
Full Name | MADHAVI GORUSU |
Credential | M.D. |
Practice Address |
85 Seymour St Suite 901 Hartford CT 06106-5501 |
Mailing Address |
2110 Silas Deane Hwy 2nd Fl Rocky Hill CT 06067-2313 |
Practice Telephone | 8602466647 |
Practice Fax Number | 8602407067 |
Mailing Telephone | 8602583480 |
Mailing Fax Number | 8605716800 |
Enumeration Date | 2007-07-30 |
Last Update Date | 2012-03-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
042803 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | MEDICAL LICENSE | 042803 | 01 |
Street Address |
85 SEYMOUR ST SUITE 901 |
City | HARTFORD |
State | CT |
Zip Code | 06106-5501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586471 | Daniel Bruce Fram | Internal Medicine | 85 Seymour St, Ste 821, Hartford, CT 06106 | 2005-05-27 |
1255841714 | Danielle Montufar Gleason | Psychologist | 85 Seymour St, Hartford, CT 06106-5501 | 2017-10-10 |
1164946760 | Christopher John Krupa-schayer | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2017-07-26 |
1902349251 | Courtney Leigh Davis | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2016-11-18 |
1669927703 | Hartford Healthcare Retail Pharmacy | Pharmacy | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-08-18 |
1013360254 | Praveen Jayapal | Student in an Organized Health Care Education/Training Program | 85 Seymour St, Hartford, CT 06106-5501 | 2016-07-22 |
1457702193 | Kevin Rooney | Physician Assistant | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2016-06-23 |
1922455211 | Molly Nathanson | Midwife | 85 Seymour St, Suite 1019, Hartford, CT 06106 | 2016-05-17 |
1386090124 | Allyson Rossi | Occupational Therapist | 85 Seymour St, Suite 604, Hartford, CT 06106-5501 | 2016-05-11 |
1639539554 | Daniel Gleason | Pharmacist | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-03-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
Find all providers in zip 06106 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760643407 | Sudhanshu Bharat Mulay | Internal Medicine | 114 Woodland Street / Cancer Center, Saint Francis Medical Group, Inc, Hartford, CT 06105-0000 | 2008-06-24 |
1861706939 | Karishma Kapal Mehra | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2010-08-01 |
1881851616 | Mohammad Pazooki | Internal Medicine | 43 Woodland St, Suite G-80, Gothic Park, Hartford, CT 06105-2362 | 2008-05-20 |
1407029473 | Pragna Kapadia | Internal Medicine | 85 Retreat Ave, Hartford, CT 06106-2527 | 2008-04-10 |
1558495689 | Todd J Alekshun | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2007-03-14 |
1487713913 | Jessica M Clement | Internal Medicine | 85 Seymour Street, Hartford Hospital Cancer Center, Hartford, CT 06106-2555 | 2006-12-08 |
1497850614 | Paul Dekker | Internal Medicine | 85 Seymour St, 901, Hartford, CT 06106-5501 | 2006-09-13 |
1467557694 | Stephen Firshein | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2006-09-13 |
1114022357 | Mohanakrishin Menon | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2006-09-13 |
1982610515 | Peter P Yu | Internal Medicine | 80 Seymour St, Hartford Hospital Cancer Center, Hartford, CT 06102-8000 | 2006-08-01 |
Find all providers in HARTFORD |
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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.