Nasaduke, Irene
Nasaduke, Irene is an sole proprietor health care provider with primary practice located at 1150 Summer Street , Stamford CT 06905-5530. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Nasaduke, Irene can be contacted via phone (203) 357-0770.Contact Information
Primary practice address
1150 Summer Street
Stamford CT 06905-5530
Phone: (203) 357-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 028817 | Connecticut |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 028817 | Connecticut |
Profile Details
| NPI number | 1114055217 |
|---|---|
| LBN Legal business name | Nasaduke, Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 5th, 2010 - about 15 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 | 1114055217 | NPPES |
| Other | 0100Z8817C701 | ANTHEM | |
| MEDICAID | 001288176 | ANTHEM |
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