Cardiomed Of Connecticut, Llc in Bridgeport - Cardiovascular Disease

Cardiomed Of Connecticut, Llc - NPI 1699964403

Cardiomed Of Connecticut, Llc is a Cardiovascular Disease in Bridgeport, Connecticut. Cardiomed Of Connecticut, Llc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Cardiomed Of Connecticut, Llc is 1699964403. The last update date is 2014-05-08.

Cardiomed Of Connecticut, Llc's current location address is 4695 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033715189 and fax number 2033726365. The mailing address for Cardiomed Of Connecticut, Llc is 4695 Main St, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cardiomed Of Connecticut, Llc
Address 4695 Main St, Bridgeport, Connecticut
Phone Number 2033715189
Fax Number 2033726365
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Raza Mohummad
Credentials M.D., F.A.
Telephone Number 2033715189

NPI Number Detail

NPI Number 1699964403
Provider Enumeration Date 2007-10-17
Last Updated Date 2014-05-08

Provider Mailing Address Detail

Address 4695 Main St
City Bridgeport
State Connecticut (CT)
Post Code 66061802
Phone Number 2033715189
Fax Number 2033726365

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 36793
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1367938 CT --

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FAQs about Cardiomed Of Connecticut, Llc

What is the unique identifier code issued to Cardiomed Of Connecticut, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Cardiomed Of Connecticut, Llc has been assigned the NPI (National Provider Identifier) 1699964403. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Cardiomed Of Connecticut, Llc is physically located?

The Cardiomed Of Connecticut, Llc is situated at the following address: 4695 Main St, Bridgeport, CT 66061802.

What is Cardiomed Of Connecticut, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cardiomed Of Connecticut, Llc's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.

When did the Cardiomed Of Connecticut, Llc receive its 1699964403?

The Cardiomed Of Connecticut, Llc was issued its 1699964403 on 2007-10-17, which is the date when the organization was assigned this unique identifier.

When was the Cardiomed Of Connecticut, Llc's information last updated?

The Cardiomed Of Connecticut, Llc's information was last updated on 2014-05-08.

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