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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOHAMMADHASSAN MIRBOLOUK
NPI 1992361547
Internal Medicine in New Haven, CT

Active since May 18, 2019
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, May 18, 2019 (2 updates tracked since 2019).

About Mohammadhassan Mirbolouk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMADHASSAN MIRBOLOUK (NPI 1992361547) is an individual internal medicine provider in New Haven, Connecticut, licensed in Maryland (D0100396) and active in the NPI registry since May 2019. He maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1992361547
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMADHASSAN MIRBOLOUK
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateMay 18, 2019
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1992361547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0100396
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20 YORK ST, New Haven, CT 06510
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Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
BERNADETTE BIMONTE-HACKETT LCSW
Social Worker (Clinical)
20 YORK ST, SOCIAL WORK EP10-635
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammadhassan Mirbolouk's NPI number?

The NPI number for Mohammadhassan Mirbolouk is 1992361547. It was assigned to this individual provider in the NPPES registry on May 18, 2019.

Where is Mohammadhassan Mirbolouk located?

Mohammadhassan Mirbolouk practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Mohammadhassan Mirbolouk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mohammadhassan Mirbolouk was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.