Mridha, Imran Ahmed

Mridha, Imran Ahmed is an individual health care provider with primary practice located at 75 Kings Highway Cutoff Ste 3A , Fairfield CT 06824-5340. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mridha, Imran Ahmed can be contacted via phone (203) 743-7264.

Contact Information

Primary practice address
75 Kings Highway Cutoff Ste 3A Fairfield CT 06824-5340
Phone: (203) 743-7264
Fax: (203) 792-3920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5039 Connecticut

Profile Details

NPI number 1558970558
LBN Legal business name Mridha, Imran Ahmed
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2020
Last updated Mar 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers