Basic Information
| Provider Information | |||||||||
| NPI: | 1083023139 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALARIA | ||||||||
| FirstName: | OSMAN | ||||||||
| MiddleName: | NAWAZISH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1450 CHAPEL ST # 2006 | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065114405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037893538 | ||||||||
| FaxNumber: | 2038675461 | ||||||||
| Practice Location | |||||||||
| Address1: | 1450 CHAPEL ST # E2006 | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065114405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037893538 | ||||||||
| FaxNumber: | 2038675461 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2014 | ||||||||
| LastUpdateDate: | 09/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 69443 | CT | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207L00000X | 69443 | CT | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.