BORNA DABIRI (NPI# 1508228198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508228198 |
| Entity Type | Individual |
| Full Name | BORNA DABIRI |
| Credential | MD, PHD |
| Practice Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Mailing Address |
183 W Arthur Ave Arcadia CA 91007-8205 |
| Practice Telephone | 6262213111 |
| Mailing Telephone | 6262213111 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
30 SHELBURNE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
| 1043606320 | Madhuri Tirumandas | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| 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 |
|---|---|---|---|---|
| 1972116978 | Avery Iudice | Student in an Organized Health Care Education/Training Program | 116 Morgan St Apt 238a, Stamford, CT 06905-5441 | 2020-08-28 |
| 1548899966 | Jeffry Michael Velky | Student in an Organized Health Care Education/Training Program | 1201 Washington Blvd Apt 314, Stamford, CT 06902-2490 | 2020-04-07 |
| 1356801898 | Michelle Paige Greenman | Student in an Organized Health Care Education/Training Program | 147 Dogwood Ct, Stamford, CT 06903-4500 | 2019-03-21 |
| 1699197822 | Stephanie Joss Serpa | Student in an Organized Health Care Education/Training Program | 247 Soundview Ave, Stamford, CT 06902-7016 | 2014-01-07 |
| 1043646789 | Caroline S Blair | Student in an Organized Health Care Education/Training Program | 32 Strawberry Hill Ct., Suite 4, Stamford, CT 06902 | 2013-09-25 |
| 1568787760 | Adaobi Nnenna Kurylov | Student in an Organized Health Care Education/Training Program | 824 Hope St # A, Stamford, CT 06907-2527 | 2010-03-30 |
| 1619128469 | Alexander Luke Buls | Student in an Organized Health Care Education/Training Program | 120 Strawberry Hill Ave Apt 214, Stamford, CT 06902-2768 | 2008-10-09 |
| 1891950382 | Gerald Fung | Student in an Organized Health Care Education/Training Program | 1351 Washington Boulevard, 4th Floor, Stamford Hospital Family Medicine Residency Program, Stamford, CT 06902 | 2008-07-23 |
| 1730708587 | Lauren Page | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-13 |
| 1437788692 | Marie Sullivan | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-08 |
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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.