Individual provider · Type 1 NPI

Maryam Umar Idris

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1700524733 Active

Practice location

Family Medicine Center At Asylum Hill, 99 Woodland Street
Hartford, CT 06105-1207

Call (860) 714-4212 Map

Fax (860) 714-8080

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700524733

Maryam Umar Idris's National Provider Identifier is 1700524733, issued on May 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Feb 13, 2023.