IMRAN AHMED MRIDHA


Address: 7932 Southside Blvd Apt 2409, Jacksonville, FL 32256-7958
Phone: 8603711937

IMRAN AHMED MRIDHA (NPI# 1558970558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558970558
Entity Type Individual
Full Name IMRAN AHMED MRIDHA
Credential PA-S3
Practice Address 7932 Southside Blvd Apt 2409
Jacksonville
FL 32256-7958
Practice Telephone 8603711937
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 7932 SOUTHSIDE BLVD APT 2409
City JACKSONVILLE
State FL
Zip Code 32256-7958

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1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
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1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548860711 Lee Thomas Hagenbaumer Student in an Organized Health Care Education/Training Program 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 2020-10-27
1508463456 Juana Maria Hodac Student in an Organized Health Care Education/Training Program 8680 Baymeadows Rd E Apt 1018, Jacksonville, FL 32256-3994 2020-10-05
1366053043 Amanda Brunner Student in an Organized Health Care Education/Training Program 404 Henry Rd Sw, Jacksonville, AL 36265-3338 2020-08-14
1528679206 Deandrea Joice Stowe Student in an Organized Health Care Education/Training Program 519 Ladiga St Se, Jacksonville, AL 36265-2691 2020-08-14
1750908588 Irissel Rodriguez Student in an Organized Health Care Education/Training Program 2800 University Blvd S Apt 282, Jacksonville, FL 32216-2587 2020-06-27
1629692413 Diana Piotrowski Student in an Organized Health Care Education/Training Program 100 Magnolia St Apt 6105, Jacksonville, FL 32204-2256 2020-06-08
1922622778 Ryan D'armond Navarre Student in an Organized Health Care Education/Training Program 100 Magnolia St Apt 6213, Jacksonville, FL 32204-2257 2020-06-07
1063036937 Karen Rebecca Clement Student in an Organized Health Care Education/Training Program 4929 Skyway Dr Apt 5212, Jacksonville, FL 32246-0047 2020-06-05
1134743107 Christine Lalime Student in an Organized Health Care Education/Training Program 220 Riverside Ave Unit 203, Jacksonville, FL 32202-4947 2020-06-04
1154942571 Megan Dela Rea Student in an Organized Health Care Education/Training Program 11545 Petersham Falls Ln, Jacksonville, FL 32258-2514 2020-04-27
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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