Individual
JAHANZAIB IDREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2044 BRIDGEPORT AVE, MILFORD, CT 06460-4633
(216) 688-9320
Mailing address
2044 BRIDGEPORT AVE, MILFORD, CT 06460-4633
(216) 688-9320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68050
CT
208600000X
Surgery Physician
68050
CT
208D00000X
General Practice Physician
Primary
68050
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
10/04/2022
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