MADHAVI GORUSU


Address: 85 Seymour St, Suite 901, Hartford, CT 06106-5501
Phone: 8602466647

MADHAVI GORUSU (NPI# 1982894697) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
042803 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT MEDICAL LICENSE 042803 01

Office Location

Street Address 85 SEYMOUR ST
SUITE 901
City HARTFORD
State CT
Zip Code 06106-5501

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City HARTFORD
Zip Code 06106

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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