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Contact Information

DAHLIA A SAAD PENDERGRASS, MD
80 SEYMOUR STREET
HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT06102-5037
 Phone: 860-545-2629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAHLIA A SAAD PENDERGRASS · (Female)

NPI # 1104801745
Status Active
Credentials MD
Entity Individual
Enumeration date 12/07/2005
Last updated 10/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 049137
  • MN License # 42062
  • CT Medicaid PENDING
  • MN Medicaid 358640500
  • MN Other P00003148 MEDICARE RAILROAD
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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