Basic Information
| Provider Information | |||||||||
| NPI: | 1215598214 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAFADER | ||||||||
| FirstName: | ASIYA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | UCONN GRADUATE MEDICAL EDUCATION | ||||||||
| Address2: | 263 FARMINGTON AVENUE LM068 | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060301921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606794763 | ||||||||
| FaxNumber: | 8606794624 | ||||||||
| Practice Location | |||||||||
| Address1: | HARTFORD HOSPITAL ADULT PRIMARY CARE BROWN STONE | ||||||||
| Address2: | 79 RETREAT AVENUE | ||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8609720200 | ||||||||
| FaxNumber: | 8605453149 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2019 | ||||||||
| LastUpdateDate: | 09/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.