Healthcare Provider Details

I. General information

NPI: 1609890995
Provider Name (Legal Business Name): GURENDER SINGH SAHANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LITCHFIELD ST
TORRINGTON CT
06790-6424
US

IV. Provider business mailing address

43 W HILLS DR
AVON CT
06001-2239
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-9930
  • Fax: 860-489-2604
Mailing address:
  • Phone: 860-673-6919
  • Fax: 860-606-0311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number038632
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number038632
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: