Active NPI
Malavika Vidwans, M.D.
- Cytopathology Physician
- Stratford, CT
National Provider Identifier
1710010939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 037678
- Practice address
- 200 Watson Blvd
Stratford, CT 06615-7127 - Phone
- (203) 380-4570
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 037678 | CT | Primary |
Addresses
Primary practice location
200 Watson Blvd
Stratford, CT 06615-7127
Mailing address
1 Stratford Rd
Farmington, CT 06032-1444
Phone (860) 679-9374
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037678 | CT | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710010939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STRATFORD RD",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321444",
"telephone_number": "860-679-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WATSON BLVD",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066157127",
"telephone_number": "203-380-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDWANS",
"first_name": "MALAVIKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CT",
"license": "037678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.