DR. MAHESH ANIL NETRAVALI (NPI# 1942424551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942424551 |
| Entity Type | Individual |
| Full Name | DR. MAHESH ANIL NETRAVALI |
| Credential | M.D. |
| Practice Address |
23 Clara Dr Suite 204 Mystic CT 06355-1959 |
| Practice Telephone | 8605362995 |
| Practice Fax Number | 8605368375 |
| Mailing Telephone | 8605362995 |
| Mailing Fax Number | 8605368375 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 048463 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
23 CLARA DR SUITE 204 |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316924749 | Doron J Ber | Allergy & Immunology | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2005-12-28 |
| 1528236932 | Gabrielle Eden Pierce | Physician Assistant | 23 Clara Dr, Suite 201, Mystic, CT 06355-1959 | 2008-02-19 |
| 1013195064 | Laura Ann White | Optometrist | 23 Clara Dr, Visions Sight and Learning Center, Mystic, CT 06355 | 2008-02-01 |
| 1003001850 | Main Medical-mystic, LLC | Internal Medicine | 23 Clara Dr, Suite 201, Mystic, CT 06355-1959 | 2007-09-13 |
| 1467659227 | Adrienne Lynne Marold Parad | Family Medicine | 23 Clara Dr, Suite 203, Mystic, CT 06355-1959 | 2007-06-27 |
| 1811109259 | Coastal Chiropractic & Family Wellness Centre | Chiropractor | 23 Clara Dr, Suite 105, Mystic, CT 06355-1959 | 2007-05-06 |
| 1265656946 | Jennifer Felicelli | Physician Assistant | 23 Clara Dr, Mystic, CT 06355-1959 | 2007-04-12 |
| 1558406066 | Daniel Leroy Waggoner | Allergy & Immunology | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2007-02-21 |
| 1881757243 | Shoreline Allergy & Asthma Associates LLP | Allergy & Immunology | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2006-12-18 |
| 1720065154 | Bruce A. Berlow | Specialist | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558406066 | Daniel Leroy Waggoner | Allergy & Immunology | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548654882 | Julie Dana Flom | Allergy & Immunology | 1 Park St # Wp2, New Haven, CT 06504-8901 | 2015-03-25 |
| 1235530155 | Neetu Godhwani | Allergy & Immunology | 107 Newtown Rd Ste 1b, Danbury, CT 06810-4151 | 2014-09-10 |
| 1629483599 | Gesher LLC | Allergy & Immunology | 4 Clifton Ave, Waterbury, CT 06710-1724 | 2014-06-30 |
| 1942576947 | Wei An | Allergy & Immunology | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2012-03-24 |
| 1285966150 | Richard Dale England | Allergy & Immunology | 22 Bittersweet Dr, East Lyme, CT 06333-1652 | 2010-02-03 |
| 1992990535 | Sara Ines Dever | Allergy & Immunology | 55 Walls Dr Ste 405, Fairfield, CT 06824-5163 | 2007-09-06 |
| 1023129228 | Richard P Snyder | Allergy & Immunology | 263 Pomfret Street, Putnam, CT 06260-1835 | 2006-08-31 |
| 1689698094 | Mary Elizabeth Eslick | Allergy & Immunology | 59 Sachem St, Norwich, CT 06360-4201 | 2006-07-27 |
| 1063446698 | Jane Veronica Petroff | Allergy & Immunology | 57 North St Ste 216, Danbury, CT 06810-5627 | 2006-07-10 |
| 1366484123 | Birur G Chandra | Allergy & Immunology | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2006-06-12 |
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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.