Mirza, Abdul M.

Mirza, Abdul M. is an individual health care provider with primary practice located at 908 Scarbro Road , Scarbro WV 25917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mirza, Abdul M. can be contacted via phone (304) 469-2905.

Contact Information

Primary practice address
908 Scarbro Road Scarbro WV 25917
Phone: (304) 469-2905
Fax: (304) 465-2177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 09502 West Virginia

Profile Details

NPI number 1104924166
LBN Legal business name Mirza, Abdul M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 14th, 2012 - about 13 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 1104924166 NPPES
West Virginia MEDICAID 0078489000

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