PRIYA PHULWANI (NPI# 1104020031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104020031 |
| Entity Type | Individual |
| Full Name | PRIYA PHULWANI |
| Credential | MD |
| Practice Address |
282 Washington St Hartford CT 06106-3322 |
| Practice Telephone | 8605459370 |
| Practice Fax Number | 8605459371 |
| Mailing Telephone | 8605459370 |
| Mailing Fax Number | 8605459376 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
041833 | CT | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
041833 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
282 WASHINGTON ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215925037 | Jeffrey S Hyams | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2005-10-06 |
| 1902411127 | Rebecca Katherine Benjamin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-09-14 |
| 1457960486 | Jillian Scott | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-07-27 |
| 1962029660 | Brittany Athena Molkenthin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-06-29 |
| 1295358794 | Michaela Kathleen Rotondi | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-19 |
| 1881216067 | Loida Montanez | Pharmacist | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-11 |
| 1215558853 | Elizabeth Lachat | Social Worker | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-06 |
| 1023638848 | Evan Fusaro | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-22 |
| 1992325062 | Lusine Unanyan | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-19 |
| 1518586577 | Patrick James Gallaway | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-10 |
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| 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 Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740440049 | Rebecca Diane Riba-wolman | Pediatrics | 282 Washington St, Division of Endocrinology, Hartford, CT 06106-3322 | 2008-06-11 |
| 1093916322 | Christine Marie Trapp | Pediatrics | 85 Seymour St, Suite 500, Hartford, CT 06106-5501 | 2007-05-31 |
| 1619094646 | Cem Sinan Demirci | Pediatrics | 85 Seymour St, Suite 500, Hartford, CT 06106-5501 | 2007-03-23 |
| 1750356150 | Karen Rubin | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-20 |
| 1801861208 | Susan Ratzan | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174720957 | Stephan Siebel | Pediatrics | 330 Cedar St # 3103, New Haven, CT 06510-3218 | 2007-06-27 |
| 1619921046 | Emily Lucy Germain-lee | Pediatrics | 505 Farmington Ave, Farmington, CT 06032 | 2006-05-20 |
| 1881114403 | Ana Menendez | Pediatrics | 505 Farmington Ave Fl 2, Farmington, CT 06032-1901 | 2017-06-24 |
| 1417300203 | Apoorva Ravindranath Waikar | Pediatrics | 20 York St Dept Of, New Haven, CT 06510-3220 | 2016-07-18 |
| 1578975488 | Kelly Joseph | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2014-05-27 |
| 1376986711 | Jennifer Sarhis Avigdor | Pediatrics | 20 York St, Ynhh Dept Pediatric Endocrinology, New Haven, CT 06510-3220 | 2013-04-16 |
| 1164783593 | Angela R Verardo | Pediatrics | 505 Farmington Ave, Farmington, CT 06032 | 2012-06-01 |
| 1194084541 | Stephanie Lynn Samuels | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2012-05-04 |
| 1346521531 | Lisa Michelle Cruz-aviles | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2011-09-01 |
| 1770889651 | Sunitha Rani Sura | Pediatrics | 505 Farmington Ave, Suite 200 Pediatric Endocrinology, Farmington, CT 06032-1901 | 2011-02-09 |
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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.