Basic Information
| Provider Information | |||||||||
| NPI: | 1518113984 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PALANIAPPAN | ||||||||
| FirstName: | DHAMODARAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 E RIVER DR | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | EAST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061083288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605451782 | ||||||||
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| Practice Location | |||||||||
| Address1: | 80 SEYMOUR ST | ||||||||
| Address2: | DEPARTMENT OF ANESTHESIOLOGY, JB 333 | ||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061028000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605452117 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2008 | ||||||||
| LastUpdateDate: | 04/16/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | TRN#11326 | FL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 242580 | MA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207RC0200X | 050670 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207L00000X | 050670 | CT | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.