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General NPI Number Information
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NPI Number | 1659781722
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Entity Type | Individual
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Provider Name | ROUZI SHENGELIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 500 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880-4431
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Country | US
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Telephone | 203-635-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 500 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880-4431
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Country | US
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Telephone | 203-635-8770
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 291974
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A168665
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 69410
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License Number State | CT
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