Individual
ANAHITA BASSIR NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 GEORGE ST, NEW HAVEN, CT 06511
(212) 420-2390
Mailing address
425 GEORGE ST, NEW HAVEN, CT 06511-5410
(203) 688-3182
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60800
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
008003745
—
CT
Enumeration date
09/22/2012
Last updated
07/10/2018
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