Healthcare Provider Details

I. General information

NPI: 1033386891
Provider Name (Legal Business Name): SARAH ELIZABETH SCHELLHORN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH SCHELLHORN MOUGALIAN MD

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 10/13/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CEDAR ST
NEW HAVEN CT
06510-3206
US

IV. Provider business mailing address

300 GEORGE ST STE 120 ROOM 125
NEW HAVEN CT
06511-6624
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4095
  • Fax:
Mailing address:
  • Phone: 203-785-2876
  • Fax: 203-785-5792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number235346
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number051949
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number051949
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: