IRIDA MOLLA (NPI# 1861704181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861704181 |
| Entity Type | Individual |
| Full Name | IRIDA MOLLA |
| Other Name | IRIDA HASALLA |
| Credential | MD |
| Practice Address |
140 Grandview Ave Waterbury CT 06708-2505 |
| Mailing Address |
793 Eastern Byp Suite 201 Richmond KY 40475-2422 |
| Practice Telephone | 2035744187 |
| Practice Fax Number | 2035752153 |
| Mailing Telephone | 8596246560 |
| Mailing Fax Number | 8596246569 |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 48240 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
56841 | CT | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
48240 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 793 Eastern Byp, Suite 201, Richmond, KY 404752422 | 8596246560 | 8596246569 |
| Street Address |
140 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131152 | Bidarkote Somanath | Pediatrics | 140 Grandview Ave, Suite No 206, Waterbury, CT 06708-2505 | 2005-08-11 |
| 1336437029 | Kathryn Spiess | Advanced Practice Midwife | 140 Grandview Ave, Suite 202, Waterbury, CT 06708-2505 | 2011-07-14 |
| 1679868822 | Stephen S Wallace | Dentist | 140 Grandview Ave, Suite 102, Waterbury, CT 06708-2505 | 2011-06-16 |
| 1245520220 | Eileen Correia-depaola | Massage Therapist | 140 Grandview Ave, Suite 104, Waterbury, CT 06708-2505 | 2011-04-12 |
| 1104070077 | Leslie Ann Torres | Social Worker | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-11-05 |
| 1962651968 | Connecticut Kidney & Hypertension Specialists, LLC | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-09-15 |
| 1124280631 | Meghan Marie Slemmens | Obstetrics & Gynecology | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-06-26 |
| 1689846719 | David G. Reis Md, LLC | Specialist | 140 Grandview Ave, Suite 204, Waterbury, CT 06708-2505 | 2008-03-28 |
| 1982882882 | Sandeep Tiyyagura | Internal Medicine | 140 Grandview Ave, Suite 101, Waterbury, CT 06708-2505 | 2008-02-04 |
| 1285839282 | Grace Kelley | Registered Nurse | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821432113 | Bethel Girma Shiferaw | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2013-04-17 |
| 1306969282 | Sailaja Puttagunta | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2007-04-07 |
| 1508874470 | Himal Lal | Internal Medicine | 64 Robbins St, 3rd Floor, Waterbury, CT 06708-2613 | 2006-08-04 |
| 1265458061 | Michael Francis Simms IIi | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-07-14 |
| 1033183355 | Lydia Aoun-barakat | Internal Medicine | 140 Grandview Ave, Suite #l01, Waterbury, CT 06708-2505 | 2006-02-14 |
| 1164495875 | Steven I Aronin | Internal Medicine | 140 Grandview Ave, Suite L01, Waterbury, CT 06708-2505 | 2006-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768944 | Michael William Dunne | Internal Medicine | 30 Cromwell Pl, Old Saybrook, CT 06475-2512 | 2020-04-14 |
| 1548673627 | Scott Roberts | Internal Medicine | 789 Howard Ave # 3, New Haven, CT 06519-1304 | 2014-06-06 |
| 1568702629 | Infectious Disease Consultancy, LLC | Internal Medicine | 9 Hickory Ln, Woodbridge, CT 06525-1433 | 2013-02-26 |
| 1730443698 | Roger Madison Echols | Internal Medicine | 753 Westport Rd, Easton, CT 06612-1535 | 2012-06-26 |
| 1750642930 | Daniel Alfred Scott | Internal Medicine | 63 Ridgecrest Dr, Ridgefield, CT 06877-2534 | 2012-06-04 |
| 1972861896 | Peter J Piliero | Internal Medicine | 625 Patriot Rd, Southbury, CT 06488-3223 | 2012-04-28 |
| 1710243167 | Robert Gordon Douglas Jr. | Internal Medicine | 265 Old Black Point Rd, Niantic, CT 06357-3732 | 2012-04-10 |
| 1780979526 | Marwan Azar | Internal Medicine | 300 Cedar St # S169, New Haven, CT 06519-1612 | 2011-06-09 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1811129463 | Jeanne Demars Breen | Internal Medicine | 229 Hidden Cove Rd, Old Saybrook, CT 06475-1620 | 2009-08-17 |
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| 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.