Provider Demographics
NPI:1932163292
Name:PASHA, SAIMA A (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:A
Last Name:PASHA
Suffix:
Gender:F
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:PO BOX 2828
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06011-2828
Mailing Address - Country:US
Mailing Address - Phone:860-585-3906
Mailing Address - Fax:860-585-3907
Practice Address - Street 1:102 NORTH ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4190
Practice Address - Country:US
Practice Address - Phone:860-314-2082
Practice Address - Fax:860-314-8133
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040804207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001408047Medicaid
0Q3461OtherHEALTHNET
3240201OtherAETNA
110247588OtherRAILROAD MEDICARE
010040804CT01OtherANTHEM BCBS
040804OtherCONNECTICARE
P2830873OtherOXFORD
0Q3461OtherHEALTHNET
3240201OtherAETNA