Sedat S. Shaban, M.D.,P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

019493 Issued in CT

Legal business name

SEDAT S. SHABAN, M.D.,P.C.

Practice address

1389 W Main St
Suite 308
Waterbury, CT 06708-3104

Phone

(203) 755-1464

Fax

(203) 754-7721

NPI assigned

Jan 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sedat Selajdin Shaban, M.D.NPI 1457415648

Title

Owner

Phone

(203) 755-1464

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sedat Selajdin Shaban

  • Pediatrics Physician
  • Waterbury, CT
  • NPI 1457415648
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1427329416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 W MAIN ST",
            "address_2": "SUITE 308",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083104",
            "telephone_number": "203-755-1464",
            "fax_number": "203-754-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 W MAIN ST",
            "address_2": "SUITE 308",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083104",
            "telephone_number": "203-755-1464",
            "fax_number": "203-754-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDAT S. SHABAN, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "SHABAN",
        "authorized_official_first_name": "SEDAT",
        "authorized_official_middle_name": "SELAJDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-755-1464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "019493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001194935",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica L Scranton
• Joseph D Scuderi, M.D.
• Lisa Seabra-Veiga, D.M.D.
• Brianna M Searles
• Shameeka Sebastian
• Tannaz Sedghi, MD, MPH
• Joseph H Seele, LPC
• Samuel R Segal, LPC, LADC
• Joel Scott Segalman, DPM
• Sumit Sehgal, DDS

• Pediatrics Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.