1891361101 NPI number — FARHANA KAVAL ALLADIN M.D

Table of content: FARHANA KAVAL ALLADIN M.D (NPI 1891361101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891361101 NPI number — FARHANA KAVAL ALLADIN M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALLADIN
Provider First Name:
FARHANA
Provider Middle Name:
KAVAL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891361101
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
11/25/2022
NPI Reactivation Date:
09/21/2023

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
METROPOLITAN HOSPITAL CENTER, DEPARTMENT OF MEDICINE
Provider Second Line Business Mailing Address:
1901, 1ST AVENUE
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-423-6771
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 GRAND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRITAIN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06052-2016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-224-5661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2021

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 78214 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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