Datunashvili, Ann R
Datunashvili, Ann R is an individual health care provider with primary practice located at 874 Howard Ave , New Haven CT 06519-1106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Datunashvili, Ann R can be contacted via phone (203) 688-8200.Contact Information
Primary practice address
874 Howard Ave
New Haven CT 06519-1106
Phone: (203) 688-8200
Fax: (203) 688-8204
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 039938 | Connecticut |
Profile Details
NPI number | 1376544932 |
---|---|
LBN Legal business name | Datunashvili, Ann R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2005 |
Last updated | Mar 24th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376544932 | NPPES |
Connecticut | Other | 061561581 | HEALTH CT |
Connecticut | Other | P3307906 | HEALTH CT |
Connecticut | Other | 2V6380 | HEALTH CT |
Connecticut | Other | 367593 | HEALTH CT |
Connecticut | Other | P00132026 | HEALTH CT |
Connecticut | Other | 039938 | HEALTH CT |
Connecticut | Other | 010039938CT01 | HEALTH CT |
Connecticut | Other | 061561581 | HEALTH CT |
Connecticut | Other | 3621604 | HEALTH CT |
Connecticut | Other | 061561581 | HEALTH CT |
Connecticut | MEDICAID | 001399387 | HEALTH CT |
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