Healthcare Provider Details

I. General information

NPI: 1740232867
Provider Name (Legal Business Name): NAHEED A LONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 CHAPEL STREET
NEW HAVEN CT
06511
US

IV. Provider business mailing address

333 CEDAR STREET,TMP3
NEW HAVEN CT
06510
US

V. Phone/Fax

Practice location:
  • Phone: 203-789-3538
  • Fax: 203-867-5461
Mailing address:
  • Phone: 203-785-2802
  • Fax: 203-785-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number5315019065
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME104411
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036000
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: