Mir, Taseen
Mir, Taseen is an individual health care provider with primary practice located at 1801 Robert Fulton Dr Suite 140, Reston VA 20191-5461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mir, Taseen can be contacted via phone (703) 876-9300.Contact Information
Primary practice address
1801 Robert Fulton Dr Suite 140
Reston VA 20191-5461
Phone: (703) 876-9300
Fax: (703) 876-9811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101242624 | Virginia |
Profile Details
| NPI number | 1154470946 |
|---|---|
| LBN Legal business name | Mir, Taseen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | May 27th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154470946 | NPPES |
| Michigan | Other | 0803811012 | BCBS |
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