=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205416567
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONNECTICUT ANESTHESIA PARTNERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2021
-----------------------------------------------------
Last Update Date | 05/29/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1266 E MAIN ST STE 700R
-----------------------------------------------------
City | STAMFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06902-3507
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-589-8550
-----------------------------------------------------
Fax | 201-604-6571
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 22887
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10087-2887
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-589-8550
-----------------------------------------------------
Fax | 201-604-6571
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | HAROON W CHAUDHRY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 917-621-6854
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------