Active NPIIndividual providerSole proprietor

Irida Molla, MD

Internal Medicine, Infectious Disease in Waterbury, Connecticut

NPI Number1861704181
Practice location
140 Grandview Ave, Waterbury, CT 06708-2505
Fax
203-575-2153
Last updated
April 6, 2018

Irida Molla is an Internal Medicine, Infectious Disease based in Waterbury, CT. Irida Molla practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Irida Molla is 1861704181 and holds a License No. 48240 (KY). The current practice location address for Irida Molla is 140 Grandview Ave, Waterbury, CT 06708-2505 and can be reached out via phone at 203-574-4187 and via fax at 203-575-2153.

Provider Profile Details

NPI Number
1861704181
Provider Name
Irida Molla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
140 Grandview Ave, Waterbury, CT 06708-2505
Phone Number
203-574-4187
Fax Number
203-575-2153
Primary Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X
Sole Proprietor
Yes
Other Names
-- Irida Hasalla (Former Name)
Provider Enumeration Date
July 2, 2010
Last Update Date
April 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Grandview Ave
Waterbury, CT 06708-2505
Zip
06708-2505
Phone Number
203-574-4187
Fax Number
203-575-2153
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
793 Eastern Byp
Suite 201
Richmond, KY 40475-2422
City
Richmond
State
KY
Zip
40475-2422
Phone Number
859-624-6560
Fax Number
859-624-6569

License Information

License Number (1)
48240
License State (1)
KY
Taxonomy (1)
Internal Medicine, Infectious Disease · 207RI0200X
License Number (2)
48240
License State (2)
KY
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
56841
License State (3)
CT
Taxonomy (3)
Internal Medicine, Infectious Disease · 207RI0200X · 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 Irida Molla, MD?

The NPI number of Irida Molla, MD is 1861704181. It was assigned on July 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Irida Molla, MD?

Irida Molla, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in KY under license number 48240.

Where does Irida Molla, MD practice?

The practice location is 140 Grandview Ave, Waterbury, CT 06708-2505. The office can be reached at 203-574-4187 (phone) or 203-575-2153 (fax).

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 1861704181 directly on the NPPES registry website.

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