Active NPI
Victoria Indira Sahadevan Fossland, MD
- Surgery Physician
- Sharon, CT
National Provider Identifier
1659525095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 049590
- Practice address
- 50 Hospital Hill Rd
Sharon, CT 06069-2096 - Phone
- (860) 364-4511
- NPI assigned
- Nov 12, 2008
- Last updated
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 049590 | CT | Primary |
Addresses
Primary practice location
50 Hospital Hill Rd
Sharon, CT 06069-2096
Mailing address
50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049590 | CT | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1659525095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HOSPITAL HILL RD",
"city": "SHARON",
"state": "CT",
"postal_code": "060692096",
"telephone_number": "860-364-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HOSPITAL HILL RD",
"city": "SHARON",
"state": "CT",
"postal_code": "060692096",
"telephone_number": "860-364-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHADEVAN FOSSLAND",
"first_name": "VICTORIA",
"middle_name": "INDIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "049590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.