DR. UDAY SHANKAR (NPI# 1578849519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578849519 |
| Entity Type | Individual |
| Full Name | DR. UDAY SHANKAR |
| Credential | M.D. |
| Practice Address |
3801 E Main St Fl 2 Waterbury CT 06705 |
| Mailing Address |
3801 E Main St Fl 2 Waterbury CT 06705-3815 |
| Practice Telephone | 2037094001 |
| Mailing Telephone | 2037094001 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 003922 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
62492 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICAL LICENSE | 62492 | 01 |
| FL | FLORIDA LICENSE | ME114150 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20900 Biscayne Blvd, Division of Hospital Medicine, Aventura, FL 331801407 | 2017061164 | |
| 3801 E Main St Fl 2, Waterbury, CT 067053815 | 2037094001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881660538 | Uday T.r. Shankar | Internal Medicine | 200 Medical Center Dr Ste 3n, Hazard, KY 41701-9478 | 2006-02-23 |
| 1992901185 | Uday R Shankar | Internal Medicine | 611 W. Park St., Urbana, IL 61801-2500 | 2007-06-25 |
| Street Address |
3801 E MAIN ST FL 2 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1841573714 | Jalpa Ramesh Patel | Pharmacist | 1405 E Main St Ste 3, Waterbury, CT 06705 | 2011-09-27 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1063458396 | Eduardo G Mari | Internal Medicine | 1389 West Main St, Waterbury, CT 06708 | 2006-06-22 |
| 1669710414 | Russell Parvin | Internal Medicine | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2013-01-28 |
| 1700147915 | Priyanka Chugh | Internal Medicine | 60 Westwood Ave Ste 314, Waterbury, CT 06708-2460 | 2012-06-04 |
| 1083800445 | Paolo Mapelli Md LLC | Internal Medicine | 1312 W Main St, Suite 101, Waterbury, CT 06708-3121 | 2007-09-19 |
| 1922129014 | Ronald A. Zlotoff, M.d., F.a.c.p., LLC | Internal Medicine | 140 Grandview Ave, Lower Level Suite 4, Waterbury, CT 06708-2505 | 2007-04-03 |
| 1144350141 | Naugatuck Valley Gastroenterology Consultants LLC | Internal Medicine | 1312 W Main St, Suite 101, Waterbury, CT 06708-3121 | 2007-03-07 |
| 1083749899 | Digestive Disease Center of Ct | Internal Medicine | 60 Westwood Ave, Suite 314, Waterbury, CT 06708-2460 | 2007-02-22 |
| 1447304944 | Hector Rodolfo Pun | Internal Medicine | 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 | 2007-01-22 |
| 1679521363 | Joel Jay Garsten | Internal Medicine | 60 Westwood Ave, Suite 314, Waterbury, CT 06708-2460 | 2006-05-04 |
| 1104874999 | Bhupinder Singh Lyall | Internal Medicine | 60 Westwood Ave, Suite 314, Waterbury, CT 06708-2460 | 2006-05-04 |
| Find all providers in WATERBURY | ||||
Please comment or provide details below to improve the information on DR. UDAY SHANKAR.
| 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.