Provider Demographics
NPI:1609890995
Name:SAHANI, GURENDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:GURENDER
Middle Name:SINGH
Last Name:SAHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 W HILLS DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-2239
Mailing Address - Country:US
Mailing Address - Phone:860-673-6919
Mailing Address - Fax:860-606-0311
Practice Address - Street 1:50 LITCHFIELD ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6424
Practice Address - Country:US
Practice Address - Phone:860-489-9930
Practice Address - Fax:860-489-2604
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0386322084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry