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Daveneet Randhawa, CRNA

Nurse Anesthetist, Certified Registered in Hartford, CT. Individual provider (NPI-1).

NPI number1194257956
StatusActive
Last updated in NPPESJul 11, 2022

Details

NPI
1194257956
Entity type
Individual (NPI-1)
Name
Daveneet Randhawa
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2017
Certification date
Jul 11, 2022
Last updated
Jul 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered7153CTYes
390200000X Student in an Organized Health Care Education/Training Program–CT

Practice location

80 Seymour St
Hartford, CT 06102-8000

Phone 860-545-5000

Mailing address

99 East River Drive
5th Floor
East Hartford, CT 06108-7301

Phone 860-282-0833 · Fax 860-929-0756

Other practice locations

2 Trap Falls Road
Suite 414
Shelton, CT 06484

Phone 203-929-7353 · Fax 203-929-0756

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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