Mirza, Adnan

Mirza, Adnan is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mirza, Adnan can be contacted via phone (607) 763-6622.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (607) 763-6622
Fax: (607) 763-5064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD427082 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 263090 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 263090 New York

Profile Details

NPI number 1154357002
LBN Legal business name Mirza, Adnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 9th, 2012 - about 12 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 1154357002 NPPES
New York MEDICAID 02985431
New York MEDICAID 101507848

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