Provider Demographics
NPI:1639744212
Name:NEUPANE, ANISH
Entity Type:Individual
Prefix:
First Name:ANISH
Middle Name:
Last Name:NEUPANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 GRANT STREET
Mailing Address - Street 2:BRIDGEPORT HOSPITAL
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610
Mailing Address - Country:US
Mailing Address - Phone:475-223-8422
Mailing Address - Fax:203-384-4294
Practice Address - Street 1:267 GRANT STREET
Practice Address - Street 2:BRIDGEPORT HOSPITAL
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610
Practice Address - Country:US
Practice Address - Phone:203-384-3834
Practice Address - Fax:203-384-4294
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2023-05-26
Deactivation Date:2023-03-27
Deactivation Code:
Reactivation Date:2023-05-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program