Healthcare Provider Details

I. General information

NPI: 1750339545
Provider Name (Legal Business Name): KARAN MCBRIDE EMERICK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARAN ELIZABETH MCBRIDE MD

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/07/2023
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106
US

IV. Provider business mailing address

282 WASHINGTON ST
HARTFORD CT
06106
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9560
  • Fax: 860-545-9560
Mailing address:
  • Phone: 860-545-9560
  • Fax: 860-545-9561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080T0004X
TaxonomyPediatric Transplant Hepatology Physician
License Number044315
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number036098442
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number044315
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: