Firouzeh Heidari, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI 1699478495 · NPPES record last updated Mar 22, 2023

Key facts

NPI
1699478495
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
267 Grand Street, Med Ed Podium 4
Bridgeport, CT 06610-0120
Phone
(203) 384-4442
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

267 Grand Street, Med Ed Podium 4
Bridgeport, CT 06610-0120

Mailing address

267 Grand Street
Med Ed Podium 4
Bridgeport, CT 06610-0120
Phone (203) 384-4442

Other providers in Bridgeport, CT

All providers in Bridgeport, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.