Individual
DR. ISMA ARIF MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 QUEEN STREET, SUITE 301, SOUTHINGTON, CT 06489-1801
(860) 621-6704
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT 1ST FLOOR, WETHERSFIELD, CT 06109-4337
(860) 972-6970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
066581
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066581
CT LIC
CT
Enumeration date
04/10/2017
Last updated
01/05/2021
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