Provider Demographics
NPI:1861502817
Name:HAYNE, SAROJINI BHIDE (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJINI
Middle Name:BHIDE
Last Name:HAYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAROJINI
Other - Middle Name:
Other - Last Name:BHIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:NAVAL AMBULATORY CARE CENTER
Mailing Address - Street 2:ROUTE 12 BLDG 449 ATTN PROFESSIONAL AFFAIRS
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06349-5600
Mailing Address - Country:US
Mailing Address - Phone:860-694-2377
Mailing Address - Fax:860-694-2590
Practice Address - Street 1:NAVAL AMBULATORY CARE CENTER
Practice Address - Street 2:ROUTE 12 BLDG 449 ATTN PROFESSIONAL AFFAIRS
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06349-5600
Practice Address - Country:US
Practice Address - Phone:860-694-2377
Practice Address - Fax:860-694-2590
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME855382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN