MARYAM UMAR IDRIS NPI 1700524733

NPI Information

Maryam Umar Idris is a student in an organized health care education training program in Hartford, CT. The provider is 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. Maryam Umar Idris NPI is 1700524733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

FAMILY MEDICINE CENTER AT ASYLUM HILL
99 WOODLAND STREET
HARTFORD, CT
ZIP 06105-207
Phone: (860) 714-4212
Fax: (860) 714-8080

The enumeration date for this NPI number is 5/20/2022 and was last updated on 2/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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