Radhika Jasthi MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

040159 Issued in CT

Legal business name

RADHIKA JASTHI MD LLC

Practice address

80 Mill River St
2200
Stamford, CT 06902-3733

Phone

(203) 487-6177

Fax

(203) 487-6178

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Radhika JasthiNPI 1457369944

Title

MD

Phone

(203) 487-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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

• Radhika Jasthi, MD

  • Internal Medicine Physician
  • Stamford, CT
  • NPI 1457369944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1467560086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MILL RIVER ST",
            "address_2": "2200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023733",
            "telephone_number": "203-487-6177",
            "fax_number": "203-487-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MILL RIVER ST",
            "address_2": "2200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023733",
            "telephone_number": "203-487-6177",
            "fax_number": "203-487-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHIKA JASTHI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "JASTHI",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-487-6177"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001401596",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle L Quintiliano
• Dave Ronniel Book Quirante, PT, DPT
• R..a. Caldwell Co. Inc
• R..a. Caldwell Co. Inc
• Michelle Lynn Raccio, MS CCC/SLP
• Radiation Oncology Associates, P.C.
• David M Radin, MD
• Natalie A Radoslovich, D.C.
• Miroslav Radulovic, MD
• Christine Erica Radwill, PA-C

• Internal Medicine Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.