Active NPIIndividual provider

Dr. Somava S Stout, MD

Internal Medicine in Revere, Massachusetts

NPI Number1831146612
Practice location
454 Broadway, Suite 101, Revere, MA 02151-3034
Fax
—
Last updated
December 19, 2012

Somava S Stout is an Internal Medicine based in Revere, MA. Somava S Stout practices in Revere, MA and has the professional credentials of MD. The NPI Number for Somava S Stout is 1831146612 and holds a License No. 216790 (MA). The current practice location address for Somava S Stout is 454 Broadway, Suite 101, Revere, MA 02151-3034 and can be reached out via phone at 781-485-8000.

Provider Profile Details

NPI Number
1831146612
Provider Name
Somava S Stout
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
454 Broadway, Suite 101, Revere, MA 02151-3034
Phone Number
781-485-8000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2006
Last Update Date
December 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Broadway
Suite 101
Revere, MA 02151-3034
City
Revere
Zip
02151-3034
Phone Number
781-485-8000
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
454 Broadway
Revere, MA 02151-3034
City
Revere
State
MA
Zip
02151-3034
Phone Number
781-485-8222

License Information

License Number
216790
License State
MA
Taxonomy
Internal Medicine · 207R00000X · 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. Somava S Stout, MD?

The NPI number of Dr. Somava S Stout, MD is 1831146612. It was assigned on May 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Somava S Stout, MD?

Dr. Somava S Stout, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 216790.

Where does Dr. Somava S Stout, MD practice?

The practice location is 454 Broadway, Suite 101, Revere, MA 02151-3034. The office can be reached at 781-485-8000 (phone).

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 1831146612 directly on the NPPES registry website.

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