Individual provider · Type 1 NPI
Kaveh Shahmohammadi Davoudi, MD
Vascular Surgery Physician · Southbury, CT
NPI number
1912106501
Active
Practice location
1449 Old Waterbury Rd, Unit 101
Southbury, CT 06488-3926
Fax (203) 502-2615
Mailing address
16 Spruce Ln
Weatogue, CT 06089-9401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 043700 (CT) |
| Surgical Critical Care Physician | 2086S0102X | 043700 (CT) |
| Vascular Surgery Physician Primary | 2086S0129X | 043700 (CT) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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- Abbie McGoughSpeech-Language Pathologist Southbury, CT NPI 1770972010
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- Angela Eng, ODOptometrist Southbury, CT NPI 1770848277
- Erica Lyons, MS, RN, APRNFamily Nurse Practitioner Southbury, CT NPI 1265821581
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About NPI 1912106501
Kaveh Shahmohammadi Davoudi, MD's National Provider Identifier is 1912106501, issued on Jul 13, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Southbury, CT. The record was last updated on Apr 21, 2022.