DR. CHANDRIKA SREEKANTAIAH (NPI# 1841440047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841440047 |
Entity Type | Individual |
Full Name | DR. CHANDRIKA SREEKANTAIAH |
Credential | PH.D. |
Practice Address |
1 Forest Pkwy Shelton CT 06484-6147 |
Mailing Address |
33 Sunset Dr Ossining NY 10562-2101 |
Practice Telephone | 2039267176 |
Practice Fax Number | 2039267454 |
Mailing Telephone | 9149231845 |
Enumeration Date | 2008-09-24 |
Last Update Date | 2009-09-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
Street Address |
1 FOREST PKWY |
City | SHELTON |
State | CT |
Zip Code | 06484-6147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962480608 | Dianon Systems, Inc | Clinical Medical Laboratory | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2006-01-04 |
1659404481 | Gary Scott Tennyson | Pathology | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2007-03-13 |
1285776708 | Lisa Louise Brailey | Medical Genetics | 1 Forest Pkwy, Dianon Systems, Shelton, CT 06484-6147 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
Find all providers in zip 06484 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134486848 | Xia Li | Medical Genetics, Ph.D. Medical Genetics | 1 Greenwich Pl, Shelton, CT 06484-7603 | 2012-04-19 |
1942539325 | Steven L Gersen | Medical Genetics, Ph.D. Medical Genetics | 1 Greenwich Pl, Shelton, CT 06484-7603 | 2009-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
1235196601 | Peter Alan Benn | Medical Genetics, Ph.D. Medical Genetics | 38 Metacomet Rd, Farmington, CT 06032-1801 | 2006-04-28 |
1306054838 | Navnit S. Mitter | Medical Genetics, Ph.D. Medical Genetics | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-05-18 |
1942418355 | Paula K Berry | Medical Genetics, Ph.D. Medical Genetics | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-05-18 |
1467472787 | Susan K Bowers | Medical Genetics, Ph.D. Medical Genetics | 345 Whitney Ave, New Haven, CT 06511-2348 | 2006-07-20 |
1184618381 | Francis Vannostrand | Medical Genetics, Ph.D. Medical Genetics | 47 E Main St, Stafford Springs, CT 06076-1227 | 2005-09-02 |
1447244645 | Alfredo A Arbulu | Medical Genetics, Ph.D. Medical Genetics | 15 Palomba Dr, Enfield, CT 06082-3888 | 2005-09-02 |
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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.