ANANDHI BALESWAREN (NPI# 1346246444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346246444 |
| Entity Type | Individual |
| Full Name | ANANDHI BALESWAREN |
| Other Name | ANANDHI PATHMAN |
| Credential | MD |
| Practice Address |
481 Gold Star Hwy Suite 100 Groton CT 06340-6702 |
| Practice Telephone | 8604468858 |
| Practice Fax Number | 8604052140 |
| Mailing Telephone | 8604468858 |
| Mailing Fax Number | 8604052140 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2013-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 038604 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 038604 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001386045 | 05 |
| Street Address |
481 GOLD STAR HWY SUITE 100 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760856181 | Kmg Therapy and Consulting LLC | Social Worker | 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6702 | 2015-11-23 |
| 1780057653 | Kaileah Christie-fogg, LLC | Social Worker | 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6702 | 2015-11-02 |
| 1932518008 | Sarah M Riccitelli | Physical Therapist | 481 Gold Star Hwy, Suite 302, Groton, CT 06340-6702 | 2014-08-04 |
| 1659713428 | Kla Kemp, LLC | Social Worker | 481 Gold Star Hwy, Groton, CT 06340-6702 | 2013-07-22 |
| 1972849289 | Kaileah Christie-fogg | Social Worker | 481 Gold Star Hwy, 301, Groton, CT 06340-6702 | 2012-12-14 |
| 1245592617 | Physical Therapy of Mystic, LLC | Physical Therapist | 481 Gold Star Hwy, Suite 201, Groton, CT 06340-6702 | 2012-06-12 |
| 1730400318 | Michelle Bussolotti, Lmft | Marriage & Family Therapist | 481 Gold Star Hwy, Groton, CT 06340-6702 | 2010-06-17 |
| 1437334851 | Community Health Center Inc | Family Medicine | 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 | 2008-01-03 |
| 1952596173 | Ron A. Agostini | Physical Therapist | 481 Gold Star Hwy, Suite 201, Groton, CT 06340-6702 | 2007-09-11 |
| 1437284395 | Susan B Kohn | Registered Nurse | 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 | 2007-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368242 | Hilde Hamar Westvik | Internal Medicine | 1 Forge Village Road, Ste C, Groton, MA 01450 | 2009-07-11 |
| 1689716813 | John P. Katzenberg | Internal Medicine | 292 Main St., Groton, MA 01450 | 2007-02-13 |
| 1902947658 | Nimesh K Patel | Internal Medicine | 404 Thames St, Suite 2, Groton, CT 06340-3959 | 2007-02-08 |
| 1295803534 | Montu Patel | Internal Medicine | 1 Forge Village Rd, Groton, MA 01450-2047 | 2006-12-04 |
| 1881683068 | Vandana Sahay | Internal Medicine | 497 Main St, Suite 4b, Groton, MA 01450-1298 | 2005-10-19 |
| 1326037508 | Alla R Sarkisyan | Internal Medicine | 497 Main Street, 4b, Groton, MA 01450 | 2005-10-19 |
| 1881686616 | Fred Yeo | Internal Medicine | Nhcne Groton, Groton, CT 06340 | 2005-08-18 |
| 1477609345 | Patrick Michael Henderson | Internal Medicine | 1 Wahoo Ave, Groton, CT 06349-2324 | 2007-01-25 |
| 1871570218 | Alfred W. Heinser | Internal Medicine | 100 Boston Rd, Groton, MA 01450-1860 | 2005-12-28 |
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| 1497353999 | Kaushar Desai | Internal Medicine | 23 Adam Dr, Newington, CT 06111-5143 | 2020-10-15 |
| 1255938940 | Shirley Kuan | Internal Medicine | 20 Taft St, Hamden, CT 06514-3422 | 2020-10-06 |
| 1306451869 | Falcon Medical LLC | Internal Medicine | 101 Washington Blvd Unit 1208, Stamford, CT 06902-7060 | 2020-09-11 |
| 1811509904 | Kristina Beauharnais | Internal Medicine | 18 Bedford Ave Apt 10, Norwalk, CT 06850-3849 | 2020-08-19 |
| 1720603087 | Ct Osteopathic, LLC | Internal Medicine | 41 Baldwin Ln, Glastonbury, CT 06033-3845 | 2020-06-12 |
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1275178642 | Real Life Medical LLC | Internal Medicine | 1245 Farmington Ave # 226, West Hartford, CT 06107-2667 | 2019-11-09 |
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
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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.