DR. SHENBAGAM DEWAR


Address: 564 Main St, Waltham, MA 02452-5516
Phone: 7816933800

DR. SHENBAGAM DEWAR (NPI# 1255323747) 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) 1255323747
Entity Type Individual
Full Name DR. SHENBAGAM DEWAR
Other Name SHENBAGAM VEERAPUTHIRAN
Credential MD
Practice Address 564 Main St
Waltham
MA 02452-5516
Mailing Address 3621 South State Street
700 Kms Place
Ann Arbor
MI 48108
Practice Telephone 7816933800
Mailing Telephone 7349362047
Enumeration Date 2005-08-19
Last Update Date 2016-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 4301108515 MI Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 230753 MA Allopathic & Osteopathic Physicians
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
4301108515 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A871530 05
CA GR0003490 05

Office Location

Street Address 564 MAIN ST
City WALTHAM
State MA
Zip Code 02452-5516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952916157 Paul Fath Physical Therapist 564 Main St, Waltham, MA 02452-5516 2020-09-14
1063033231 Chiara Alicia Amendola Behavioral Analyst 564 Main St, Waltham, MA 02452-5516 2020-04-29
1063067916 Dominique Nicole Auger Physical Therapist 564 Main St, Waltham, MA 02452-5516 2019-08-07
1255898151 Adrielle Rose Tobias Physical Therapist 564 Main St, Waltham, MA 02452-5516 2019-02-27
1568946531 Evan Wright Mills Physical Therapist 564 Main St, Waltham, MA 02452-5516 2018-09-17
1639695653 Jessica Bonchi Physical Therapist 564 Main St, Waltham, MA 02452-5516 2017-08-22
1235528050 Christa L Jean-baptiste Nurse Practitioner 564 Main St, Waltham, MA 02452-5516 2015-01-16
1518362326 Elizabeth Lamay Physical Therapist 564 Main St, Waltham, MA 02452-5516 2014-10-23
1063812477 Andrew Young Physical Therapist 564 Main St, Waltham, MA 02452-5516 2014-09-04
1790045748 Mark Hansberry Physical Therapist 564 Main St, Waltham, MA 02452-5516 2012-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346894896 Nsea Macipa LLC Ophthalmology 135 Beaver Street Ste 309, Waltham, MA 02452 2019-08-01
1750879383 Rosemary Klein Psychologist Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 2018-04-30
1497256374 Chithra Susan Kuriakose Nurse Practitioner Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 2018-02-26
1861883001 Melanie H Deveikas Physical Therapist 425 Waverley Oaks Rd, Waltham, MA 02452 2015-02-10
1770992059 Hope Elisabeth Forbes Psychologist 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 2014-08-12
1326462557 Ann M Fletcher Social Worker 100 Church St., Waltham, MA 02452 2014-02-07
1801239397 Rainbow Adhc of Waltham Clinic/Center 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 2013-04-15
1356689335 Jessica M Liberty Physical Therapist 425 Waverley Oaks Rd., Waltham, MA 02452 2013-01-25
1386946960 Janyce M Gately Dietitian, Registered 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 2010-12-02
1265618839 Anita Lynn Hurd Registered Nurse 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 2008-01-14
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902806219 W. Vincent Perrelli Internal Medicine 671 Main St, Waltham, MA 02451-0602 2005-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609487834 Dsmd Consulting LLC Internal Medicine 7 Michelle Dr, Burlington, MA 01803-4510 2020-08-12
1013535632 Alzheimers Disease Center Internal Medicine 54 Miller St Fl 4, Quincy, MA 02169-4725 2020-07-09
1669958252 Marie Marguerite Peloquin Internal Medicine 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 2018-07-17
1306220900 Mariuxi Alexandra Viteri Malone Internal Medicine 725 Albany Street, Shapiro 9, Boston, MA 02118 2015-07-13
1548640105 At Care, Pllc Internal Medicine 907 East St, Carlisle, MA 01741-1214 2015-06-08
1043620545 Cynthia Schoettler Internal Medicine 110 Francis St Ste 1a, Boston, MA 02215 2014-05-06
1356778146 East Coast Medical Associates Pllc Internal Medicine 149 Ashley St, Fall River, MA 02720-1511 2013-10-11
1437454287 Geriatric Internal Medicine Specialists, LLC Internal Medicine 2 Kirkat Way, North Dartmouth, MA 02747-3860 2011-01-25
1306161443 Aco Health Solutions, LLC Internal Medicine 651 Orchard St Ste 206, New Bedford, MA 02744-1007 2010-04-01
1013178698 Geriatric Solutions Internal Medicine 370 Read St, Seekonk, MA 02771-1405 2008-06-17
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Competitor

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City WALTHAM
Zip Code 02452

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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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