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Imran Ahmed Mridha

NPI Registration Record

Provider / OrganizationNPIDate Certified
IMRAN AHMED MRIDHA15589705582020-07-24

Imran Ahmed Mridha is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558970558. Registration indicates Imran Ahmed Mridha is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Imran Ahmed Mridha PA
Practice Office Address75 KINGS HIGHWAY CUTOFF STE 3A
FAIRFIELD, CT US
Practice Office Telephone2037437264
Practice Office Fax2037923920
Mailing Address11350 MCCORMICK RD
EXECUTIVE PLAZA 1, STE. 501
HUNT VALLEY, MD 210317958 US
Business Telephone7039148000
Contact Endpoints
Direct Messaging Address [][email protected]
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
5039
CT
OPI Codes
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