DR. GAURAV MANEK (NPI# 1316474455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316474455 |
| Entity Type | Individual |
| Full Name | DR. GAURAV MANEK |
| Credential | MBBS |
| Practice Address |
79 Retreat Avenue Hartford Hospital Adult Primary Care-brown Stone Hartford CT 06106 |
| Mailing Address |
263 Farmington Avenue Graduate Medical Education Uconn Health Farmington CT 06030-1921 |
| Practice Telephone | 8609720200 |
| Practice Fax Number | 8605453149 |
| Mailing Telephone | 8606794763 |
| Mailing Fax Number | 8606794624 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2018-01-18 |
| NPI Deactivation Date | 12/21/2017 |
| NPI Reactivation Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
79 RETREAT AVENUE HARTFORD HOSPITAL ADULT PRIMARY CARE-BROWN STONE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225074420 | Susan Elizabeth D'ambrosio | Psychologist | 79 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-2527 | 2006-06-22 |
| 1649761545 | Khalid Shalaby | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Hartford Hospital, Adult Primary Care-brown Stone, Hartford, CT 06106 | 2018-05-25 |
| 1457889024 | Khary Edwards | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Adult Primary Care, Hartford Hospital, Hartford, CT 06106 | 2017-05-26 |
| 1780030452 | Mark Riley Jonker | Internal Medicine | 79 Retreat Avenue, Hartford Hospital, Adult Primary Care- Brown Stone, Hartford, CT 06106 | 2016-05-11 |
| 1093197634 | Aarthi Kannan | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Hartford Hospital Adult Primary Care - Brown Stone, Hartford, CT 06102 | 2015-06-19 |
| 1891102414 | Chandana Chandra Shekar | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Hartford Hospital Adult Primary Care Brownstone Clinic, Hartford, CT 06102-8000 | 2014-07-15 |
| 1346660024 | Ursula Violet Bailey | Internal Medicine | 79 Retreat Avenue, Hartford Hospital Adult Primary Care Brownstone Clinic, Hartford, CT 06102 | 2014-04-22 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| 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 |
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1669009916 | Amjad O. M. Saad | Student in an Organized Health Care Education/Training Program | 80 Seymour St # 6102, Hartford, CT 06102-8000 | 2020-03-26 |
| 1497317986 | Muhammad Akrmah | Student in an Organized Health Care Education/Training Program | 250 Main St Apt 431, Hartford, CT 06106-1871 | 2019-07-03 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 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 |
| 1518523059 | Krishna Patel | Student in an Organized Health Care Education/Training Program | 86 Seymour St, Hartford, CT 06106-2441 | 2019-05-09 |
| 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 |
| 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.