OrganizationActive
Cardiomed of Connecticut, LLC
NPI 1699964403 · Cardiovascular Disease Physician · Bridgeport, CT
Provider details
- NPI number
- 1699964403
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohummad Raza, Owner(203) 371-5189
- License
- 036793 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4695 Main St
Suite 19
Bridgeport, CT 06606-1802
Phone: (203) 371-5189
Fax: (203) 372-6365
Approximate (ZIP-level) locationGet directions
Mailing address
4695 Main St
Bridgeport, CT 06606-1802
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2014-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.