Active NPIIndividual providerSole proprietor

Adam Ahmad Rizal

Specialist/Technologist, Athletic Trainer in Storrs, Connecticut

NPI Number1083438733
Practice location
2095 Hillside RD # U-1110, Storrs, CT 06269-1110
Fax
—
Last updated
November 11, 2024

Adam Ahmad Rizal is a Specialist/Technologist, Athletic Trainer based in Storrs, CT. Adam Ahmad Rizal practices in Storrs, CT. The NPI Number for Adam Ahmad Rizal is 1083438733. The current practice location address for Adam Ahmad Rizal is 2095 Hillside RD # U-1110, Storrs, CT 06269-1110 and can be reached out via phone at 860-486-1121.

Provider Profile Details

NPI Number
1083438733
Provider Name
Adam Ahmad Rizal
Provider Entity Type
Individual
Gender
Male
Address
2095 Hillside RD # U-1110, Storrs, CT 06269-1110
Phone Number
860-486-1121
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
November 11, 2024
Last Update Date
November 11, 2024
Certification Date
November 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2095 Hillside RD # U-1110
Storrs, CT 06269-1110
City
Storrs
Zip
06269-1110
Phone Number
860-486-1121
Storrs, CT 06269Get directions →

Provider Business Mailing Address Details

Address
2095 Hillside RD # U-1110
Storrs, CT 06269-1110
City
Storrs
State
CT
Zip
06269-1110
Phone Number
860-486-1121

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adam Ahmad Rizal?

The NPI number of Adam Ahmad Rizal is 1083438733. It was assigned on November 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Adam Ahmad Rizal?

Adam Ahmad Rizal is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Adam Ahmad Rizal practice?

The practice location is 2095 Hillside RD # U-1110, Storrs, CT 06269-1110. The office can be reached at 860-486-1121 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083438733 directly on the NPPES registry website.

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