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Organization
SEVI CT LLC
Active
Organization
SEVI CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIYUSH GUPTA MD (CEO)
(203) 685-1653
Entity
Organization
Contact information
Practice address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
Mailing address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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