Provider Demographics
NPI:1184121717
Name:CHHIBBER, MARTAND (MD)
Entity type:Individual
Prefix:DR
First Name:MARTAND
Middle Name:
Last Name:CHHIBBER
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 1:10 BIRDSEYE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2489
Mailing Address - Country:US
Mailing Address - Phone:860-606-7557
Mailing Address - Fax:860-404-2334
Practice Address - Street 1:10 BIRDSEYE RD STE 260
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2489
Practice Address - Country:US
Practice Address - Phone:860-606-7557
Practice Address - Fax:860-404-2334
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA280088390200000X
CT77252207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program