Heidari, Mojdeh
Heidari, Mojdeh is an sole proprietor health care provider with primary practice located at 10 Princeton St , West Hartford CT 06110-1893. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heidari, Mojdeh can be contacted via phone (860) 707-5392.Contact Information
Primary practice address
10 Princeton St
West Hartford CT 06110-1893
Phone: (860) 707-5392
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 106074 | Connecticut |
Profile Details
| NPI number | 1306300397 |
|---|---|
| LBN Legal business name | Heidari, Mojdeh |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2019 |
| Last updated | Jan 25th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306300397 | NPPES |
| Connecticut | Other | 106074 | RN |
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