Healthcare Provider Details

I. General information

NPI: 1366497182
Provider Name (Legal Business Name): SUDHIR KADIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 MONTAUK AVE ANESTHESIA DEPARTMENT
NEW LONDON CT
06320-4700
US

IV. Provider business mailing address

194 HOWARD ST # 3W
NEW LONDON CT
06320-5544
US

V. Phone/Fax

Practice location:
  • Phone: 860-442-0711
  • Fax: 860-443-4458
Mailing address:
  • Phone: 860-771-4960
  • Fax: 860-771-4953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD16849
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number040251
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number040251
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: