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
Fax: (203) 688-8204
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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