PRABA BOOMINATHAN (NPI# 1629456074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629456074 |
| Entity Type | Individual |
| Full Name | PRABA BOOMINATHAN |
| Practice Address |
333 Cedar Street Tompkins 3 New Haven CT 06520-8051 |
| Practice Telephone | 2037852802 |
| Mailing Telephone | 2037852802 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD468544 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
333 CEDAR STREET TOMPKINS 3 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700876273 | Jeptha Pelham Curtis | Internal Medicine | 333 Cedar Street, Dana 3, New Haven, CT 06520-8017 | 2005-10-26 |
| 1376994293 | Melissa Yarr Wern Chin | Student in an Organized Health Care Education/Training Program | 333 Cedar Street, Yale New Haven Hospital Tmp 3, New Haven, CT 06510-8051 | 2016-06-22 |
| 1194189605 | Azeem Wasay | General Acute Care Hospital | 333 Cedar Street, New Haven, CT 06520-8042 | 2016-04-11 |
| 1215311386 | Jia Rong Chong | Radiology | 333 Cedar Street, New Haven, CT 06520 | 2015-07-17 |
| 1255712808 | Thomas Mcnally | Student in an Organized Health Care Education/Training Program | 333 Cedar Street, New Haven, CT 06520-8064 | 2015-06-09 |
| 1598145013 | Mia Djulbegovic | Internal Medicine | 333 Cedar Street, Shm Ie-66, New Haven, CT 06510 | 2015-06-01 |
| 1770989014 | Farinaz Seifi | Obstetrics & Gynecology | 333 Cedar Street, New Haven, CT 06520 | 2014-11-14 |
| 1336580141 | Naila Makhani | Psychiatry & Neurology | 333 Cedar Street, Lmp 3089, New Haven, CT 06520-8064 | 2013-07-09 |
| 1861830176 | Kei Wong | Pediatrics | 333 Cedar Street, P.o. Box 208064, New Haven, CT 06520-8064 | 2013-06-08 |
| 1407114630 | Gary Altwerger | Obstetrics & Gynecology | 333 Cedar Street, Fmb 328, New Haven, CT 06510-3220 | 2012-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881124626 | Kathryn Elliott Nagel | Student in an Organized Health Care Education/Training Program | 15 York Street, Lmp 1091b, Ynhh - Im Pediatrics, New Haven, CT 06520 | 2017-06-14 |
| 1013399666 | Cosman Camilo Mandujano | Student in an Organized Health Care Education/Training Program | 330 Cedar Street Ynhh, Department of Surgery, New Haven, CT 06520 | 2015-06-19 |
| 1457619751 | Andrew Philip Notarianni | Anesthesiology | 333 Cedar St., Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520 | 2012-04-25 |
| 1619254992 | Deniz Balci | Student in an Organized Health Care Education/Training Program | Ankara Universitesi Ibni Sina Hastanesi, Genel Cerrahi Ad. Sihhiye, Ankara, ANKARA 06520 | 2011-11-15 |
| 1427333244 | Alexander Goehler | Radiology | 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 | 2011-10-12 |
| 1841529575 | Maison Chen | Radiology | 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 | 2009-12-08 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1851566228 | Arianne Jeaneve Boylan | Neurological Surgery | Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 | 2008-04-28 |
| 1679757629 | William Gee Chang | Internal Medicine | Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 | 2007-12-27 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417211 | Kathleen Chan | Anesthesiology | 51 Crown St Apt 205, New Haven, CT 06510-3334 | 2014-08-12 |
| 1457619751 | Andrew Philip Notarianni | Anesthesiology | 333 Cedar St., Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520 | 2012-04-25 |
| 1740576917 | Dan Trinh | Anesthesiology | 333 Cedar Street, Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520-8051 | 2011-06-25 |
| 1134428006 | Shilpa Rao | Anesthesiology | 333 Cedar Street Tmp3, New Haven, CT 06510-3220 | 2011-03-17 |
| 1891009247 | Zachary Walton | Anesthesiology | 360 State St Apt 2114, New Haven, CT 06510-3620 | 2010-07-27 |
| 1598080798 | Clara Pau | Anesthesiology | 333 Cedar St # 3, Yusm Department of Anesthesia;, New Haven, CT 06510-3206 | 2010-03-30 |
| 1447493127 | Alejandro Hernandez Rodriguez | Anesthesiology | 333 Cedar St Tmp 3, New Haven, CT 06520-8051 | 2009-04-10 |
| 1396900668 | Ruchi Sharma | Anesthesiology | 333 Cedar St Dept Of, New Haven, CT 06510-3206 | 2008-07-25 |
| 1194989970 | Lydia Agnes Josephs | Anesthesiology | 333 Cedar Street Tmp 3, New Haven, CT 06510 | 2008-07-11 |
| 1134388861 | Philip Rubin | Anesthesiology | 330 Cedar St # 302, Yale Department of Anesthesiology, New Haven, CT 06510-3218 | 2008-06-06 |
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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.