MRS. SHIRIN MAHOOTI MD NPI 1871571943

NPI Information

NPI: 1871571943
Provider Name: MRS. SHIRIN MAHOOTI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1389 W MAIN ST
TOWER 1, SUITE 207
WATERBURY, CT
ZIP 06708
Phone: (203) 574-4473
Get Directions

MRS. Shirin Mahooti, MD is a pediatrics in Waterbury, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MRS. Shirin Mahooti, MD NPI is 1871571943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1389 W MAIN ST
TOWER 1, SUITE 207
WATERBURY, CT
ZIP 06708-104
Phone: (203) 574-4473
Fax: (203) 574-4953

The enumeration date for this NPI number is 1/9/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		02110	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010022110CT01	OTHER	CONNECTICUT	ANTHEM BC/BS
2	00122110000	OTHER	CONNECTICUT	BLUE CARE FAMILY PLAN
3	745722	OTHER	CONNECTICUT	CONNECTICARE
4	OR2032	OTHER	CONNECTICUT	HEALTHNET
5	E51465	MEDICARE UPIN	CONNECTICUT

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

NPI Synchronization or Removal

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