Individual provider Active NPI

Chandrika Sreekantaiah, PH.D.

  • Ph.D. Medical Genetics
  • Shelton, CT
National Provider Identifier
1841440047
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Practice address
1 Forest Pkwy
Shelton, CT 06484-6147
Phone
(203) 926-7176
Fax
(203) 926-7454
NPI assigned
Sep 24, 2008
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X NU Primary

Addresses

Primary practice location

1 Forest Pkwy
Shelton, CT 06484-6147

Mailing address

33 Sunset Dr
Ossining, NY 10562-2101
Phone (914) 923-1845

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 Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1841440047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SUNSET DR",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105622101",
            "telephone_number": "914-923-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOREST PKWY",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846147",
            "telephone_number": "203-926-7176",
            "fax_number": "203-926-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEKANTAIAH",
        "first_name": "CHANDRIKA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.