Provider Demographics
NPI:1700855095
Name:KAYANI, SOHAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHAIL
Middle Name:
Last Name:KAYANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SOHAIL
Other - Middle Name:
Other - Last Name:KAYANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:115 TECHNOLOGY DR UNIT B200
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6347
Mailing Address - Country:US
Mailing Address - Phone:203-445-1111
Mailing Address - Fax:203-445-0441
Practice Address - Street 1:115 TECHNOLOGY DR UNIT B200
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6347
Practice Address - Country:US
Practice Address - Phone:203-445-1111
Practice Address - Fax:203-445-0441
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT030663208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001306639Medicaid