Active NPIIndividual provider

Nader M Bahadory, DO

Emergency Medicine in New London, Connecticut

NPI Number1790894319
Practice location
365 Montauk Ave, New London, CT 06320-4769
Fax
—
Last updated
May 21, 2020

Nader M Bahadory is an Emergency Medicine based in New London, CT. Nader M Bahadory practices in New London, CT and has the professional credentials of DO. The NPI Number for Nader M Bahadory is 1790894319 and holds a License No. 000484 (CT). The current practice location address for Nader M Bahadory is 365 Montauk Ave, New London, CT 06320-4769 and can be reached out via phone at 860-442-0711.

Provider Profile Details

NPI Number
1790894319
Provider Name
Nader M Bahadory
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
365 Montauk Ave, New London, CT 06320-4769
Phone Number
860-442-0711
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2006
Last Update Date
May 21, 2020
Certification Date
May 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4769
Zip
06320-4769
Phone Number
860-442-0711
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
20 York Street, Cb-329
New Haven, CT 06510-3220
City
New Haven
State
CT
Zip
06510-3220
Phone Number
203-688-1743
Fax Number
203-688-9638

License Information

License Number (1)
000484
License State (1)
CT
Taxonomy (1)
Emergency Medicine · 207P00000X · Primary
License Number (2)
DO01020
License State (2)
RI
Taxonomy (2)
Emergency Medicine · 207P00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nader M Bahadory, DO?

The NPI number of Nader M Bahadory, DO is 1790894319. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Nader M Bahadory, DO?

Nader M Bahadory, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 000484.

Where does Nader M Bahadory, DO practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4769. The office can be reached at 860-442-0711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790894319 directly on the NPPES registry website.

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