Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aziz Tahirov, CRNA

Individual provider Registered Nurse · NPI 1639590466

Aziz Tahirov, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Putnam, Connecticut. Qualified in 2013, 13 years ago. Practices with Northstar Anesthesia of Pennsylvania LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Connecticut and Pennsylvania.

Years since qualifying
13
Licensed in
CT, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

320 Pomfret St
Putnam, CT 06260
Phone: (860) 928-6541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 005603 (CT)
Registered Nurse Taxonomy 163W00000X · Licence RN646736 (PA)

Record details

NPI number1639590466
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 20, 2013
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northstar Anesthesia Of Pennsylvania Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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