NPI 1063975381 · live from the CMS NPI Registry
Kamruz Jahan Ahmed, PA-C
Physician Assistant, Medical in Stamford, CT. National Provider Identifier 1063975381, active.
NPI record
| NPI | 1063975381 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 4 Hospital Plz Ste 102, Stamford, CT 06902 |
| Practice phone | 203-276-2330 |
| Enumerated | April 12, 2019 |
| Last updated | January 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 023453-1 (NY) |
| Physician Assistant, Medical primary | 363AM0700X | 4455 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.