Active NPIIndividual providerSole proprietor

Mojdeh Heidari, FNP

Family Medicine in West Hartford, Connecticut

NPI Number1306300397
Practice location
10 Princeton St, West Hartford, CT 06110-1893
Fax
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Last updated
January 25, 2024

Mojdeh Heidari is a Family Medicine based in West Hartford, CT. Mojdeh Heidari practices in West Hartford, CT and has the professional credentials of FNP. The NPI Number for Mojdeh Heidari is 1306300397 and holds a License No. 106074 (CT). The current practice location address for Mojdeh Heidari is 10 Princeton St, West Hartford, CT 06110-1893 and can be reached out via phone at 860-707-5392.

Provider Profile Details

NPI Number
1306300397
Provider Name
Mojdeh Heidari
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
10 Princeton St, West Hartford, CT 06110-1893
Phone Number
860-707-5392
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2019
Last Update Date
January 25, 2024
Certification Date
January 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Princeton St
West Hartford, CT 06110-1893
Zip
06110-1893
Phone Number
860-707-5392
West Hartford, CT 06110Get directions →

Provider Business Mailing Address Details

Address
360 Bloomfield Ave
Windsor, CT 06095-2700
City
Windsor
State
CT
Zip
06095-2700
Phone Number
860-707-5392

License Information

License Number
106074
License State
CT
Taxonomy
Family Medicine · 207Q00000X · 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 Mojdeh Heidari, FNP?

The NPI number of Mojdeh Heidari, FNP is 1306300397. It was assigned on January 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Mojdeh Heidari, FNP?

Mojdeh Heidari, FNP is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 106074.

Where does Mojdeh Heidari, FNP practice?

The practice location is 10 Princeton St, West Hartford, CT 06110-1893. The office can be reached at 860-707-5392 (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 1306300397 directly on the NPPES registry website.

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