Individual provider · Type 1 NPI

Imran Ahmed Mridha, PA

Physician Assistant · Fairfield, CT

NPI number 1558970558 Active

Practice location

75 Kings Highway Cutoff Ste 3A
Fairfield, CT 06824-5340

Fax (203) 792-3920

Mailing address

11350 Mccormick Rd, Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031-7958

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5039 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558970558

Imran Ahmed Mridha, PA's National Provider Identifier is 1558970558, issued on Jul 24, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfield, CT. The record was last updated on Mar 7, 2022.