Healthcare Provider Details

I. General information

NPI: 1396726089
Provider Name (Legal Business Name): HALEH SAADAT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEH REZAY NADIMI MD

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 12/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 E RIVER DR 5TH FLOOR
EAST HARTFORD CT
06108-3288
US

IV. Provider business mailing address

2 TRAP FALLS RD
SHELTON CT
06484-4616
US

V. Phone/Fax

Practice location:
  • Phone: 860-282-0833
  • Fax: 860-282-0170
Mailing address:
  • Phone: 203-929-7353
  • Fax: 203-929-0756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number037647
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: