Mir, Hamza Usman

Mir, Hamza Usman is an individual health care provider with primary practice located at 12301 Lake Underhill Rd Ste 104 , Orlando FL 32828-4509. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Mir, Hamza Usman can be contacted via phone (407) 581-9515.

Contact Information

Primary practice address
12301 Lake Underhill Rd Ste 104 Orlando FL 32828-4509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19593 Florida
Dental Providers / Dentist 122300000X 2901021517 Michigan
Dental Providers / Endodontics 1223E0200X 19593 Florida

Profile Details

NPI number 1194094938
LBN Legal business name Mir, Hamza Usman
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2011
Last updated Sep 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194094938 NPPES
Florida MEDICAID 004423000

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