Active NPIIndividual provider

Dr. Kethia Eliezer, MD

Pediatrics in Stamford, Connecticut

NPI Number1285168328
Practice location
126 Morgan St, Stamford, CT 06905-5431
Fax
203-323-6177
Last updated
July 23, 2020

Kethia Eliezer is a Pediatrics based in Stamford, CT. Kethia Eliezer practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Kethia Eliezer is 1285168328 and holds a License No. 66311 (CT). The current practice location address for Kethia Eliezer is 126 Morgan St, Stamford, CT 06905-5431 and can be reached out via phone at 203-327-1055 and via fax at 203-323-6177.

Provider Profile Details

NPI Number
1285168328
Provider Name
Kethia Eliezer
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
126 Morgan St, Stamford, CT 06905-5431
Phone Number
203-327-1055
Fax Number
203-323-6177
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 15, 2017
Last Update Date
July 23, 2020
Certification Date
July 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Morgan St
Stamford, CT 06905-5431
Zip
06905-5431
Phone Number
203-327-1055
Fax Number
203-323-6177
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
126 Morgan St
Stamford, CT 06905-5431
City
Stamford
State
CT
Zip
06905-5431
Phone Number
203-327-1055
Fax Number
203-323-6177

License Information

License Number
66311
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kethia Eliezer, MD?

The NPI number of Dr. Kethia Eliezer, MD is 1285168328. It was assigned on April 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Kethia Eliezer, MD?

Dr. Kethia Eliezer, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 66311.

Where does Dr. Kethia Eliezer, MD practice?

The practice location is 126 Morgan St, Stamford, CT 06905-5431. The office can be reached at 203-327-1055 (phone) or 203-323-6177 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285168328 directly on the NPPES registry website.

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