Devaraj, Shanthi
Devaraj, Shanthi is an individual health care provider with primary practice located at 1400 Bedford St , Stamford CT 06905-5200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Devaraj, Shanthi can be contacted via phone (203) 323-8700.Contact Information
Primary practice address
1400 Bedford St
Stamford CT 06905-5200
Phone: (203) 323-8700
Fax: (203) 323-1785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036375 | Connecticut |
Profile Details
| NPI number | 1063565844 |
|---|---|
| LBN Legal business name | Devaraj, Shanthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 14th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063565844 | NPPES |
| Connecticut | MEDICAID | 001363754 |
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