# SEVI HEALTH CT CLOVER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578205530
- **Authorized official:** PIYUSH GUPTA MD (OWNER)
- **Authorized official phone:** (203) 685-1653

## Contact information

- **Practice address:** 764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
- **Practice address phone:** (203) 685-1653
- **Mailing address:** 470 JAMES ST STE 7, NEW HAVEN, CT 06513-3175
- **Mailing address phone:** (203) 685-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 03/07/2023