Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 049071 | CT |
Y | 208600000X | Surgeon | 049071 | CT |
N | 208200000X | Surgeon | 38398 | KY |
N | 208600000X | Surgeon | 38398 | KY |
N | 2086X0206X | Surgical Oncologist | 38398 | KY |
NPI | 1255310801 |
---|---|
Provider Name | Anees B Chagpar |
First Address | New Haven, CT 06520-8237 |
Second Address | New Haven, CT 06511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 20/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200466990 | (05) | IN |
50001574 | PASSPORT (01) | KY |
64067192 | (05) | KY |
H77233 | (02) |