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RICHARD SIAHAAN M.D. NPI 1013133628


NPI Information

NPI: 1013133628
Provider Name: RICHARD SIAHAAN, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
421 COTTAGE GROVE RD
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 242-0034
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Richard Siahaan, M.D. is an internal medicine in Bloomfield, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Richard Siahaan, M.D. NPI is 1013133628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

421 COTTAGE GROVE RD
BLOOMFIELD, CT
ZIP 06002-170
Phone: (860) 242-0034
Fax: (860) 242-3301

The enumeration date for this NPI number is 4/18/2007 and was last updated on 12/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine24303CONNECTICUTYes
2207R00000XInternal Medicine024303CONNECTICUTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P3592661OTHERCONNECTICUTOXFORD
2369877OTHERCONNECTICUTWELLCARE
3704554OTHERCONNECTICUTCONNECTICARE
4B38469MEDICARE UPINCONNECTICUT
580705OTHERCONNECTICUTGREATWEST
67294618OTHERPENNSYLVANIACIGNA
7110001568MEDICARE PINCONNECTICUT
8004263612OTHERCONNECTICUTCHN
9427750OTHERMASSACHUSETTSTUFTS
10010024303CT01OTHERCONNECTICUTBLUESHIELD
111751515OTHERGEORGIAUNITED HEALTHCARE
12004263612MEDICAIDCONNECTICUT
130V0438OTHERCONNECTICUTHEALTHNET
14514837OTHERTEXASAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.