Healthcare Provider Details

I. General information

NPI: 1336638402
Provider Name (Legal Business Name): ARSHDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 08/13/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD CT
06106
US

IV. Provider business mailing address

1290 SILAS DEANE HWY HHC-CVO
WETHERSFIELD CT
06109-4337
US

V. Phone/Fax

Practice location:
  • Phone: 203-910-2193
  • Fax:
Mailing address:
  • Phone: 860-972-5507
  • Fax: 860-972-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number79483
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: