1003971375 NPI number — CATHERINE ANN CHAKAR-IYENGAR CRNA

Table of content: CATHERINE ANN CHAKAR-IYENGAR CRNA (NPI 1003971375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003971375 NPI number — CATHERINE ANN CHAKAR-IYENGAR CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAKAR-IYENGAR
Provider First Name:
CATHERINE
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHAKAR
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1003971375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 CLAYTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DANBURY
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06811-3738
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-660-1859
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
114 WOODLAND ST
Provider Second Line Business Practice Location Address:
WOODLAND ANESTHESIOLOGY ASSOCIATES PC
Provider Business Practice Location Address City Name:
HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06105-1208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-614-6654
Provider Business Practice Location Address Fax Number:
860-714-8110
Provider Enumeration Date:
12/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  2475 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com