Provider Demographics
NPI:1548522022
Name:SADANA, KRISTEN MARIE (MD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:SADANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:211 GREENWOOD AVE # 158
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-2124
Mailing Address - Country:US
Mailing Address - Phone:201-981-8613
Mailing Address - Fax:866-899-0372
Practice Address - Street 1:7 KENOSIA AVE STE 1
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7395
Practice Address - Country:US
Practice Address - Phone:475-329-2686
Practice Address - Fax:203-456-3161
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT564382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry