Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cardiomed of Connecticut, LLC

Organization Cardiovascular Disease Physician · NPI 1699964403

Cardiomed of Connecticut, LLC provides Cardiovascular Disease Physician services in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4695 Main St Ste 19
Bridgeport, CT 06606-1802 Not confirmed with CMS for 12 years — call before visiting
Phone: (203) 371-5189
Fax: (203) 372-6365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036793 (CT)

Record details

NPI number1699964403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohummad Raza — Owner · (203) 371-5189
NPI enumeratedOctober 17, 2007
Last updated in NPPESMay 8, 2014
Mailing address4695 Main St, Suite 19, Bridgeport, CT 06606-1802

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