Individual
MEHAK IDREES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5718
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62137
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2015
Last updated
05/14/2019
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