Mirza, Anisa A.

Mirza, Anisa A. is an individual health care provider with primary practice located at 7600 Osler Dr Ste 406 , Towson MD 21204-7703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mirza, Anisa A. can be contacted via phone (410) 821-8444.

Contact Information

Primary practice address
7600 Osler Dr Ste 406 Towson MD 21204-7703
Fax: (410) 821-8447
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D41536 Maryland

Profile Details

NPI number 1144298803
LBN Legal business name Mirza, Anisa A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 6th, 2022 - about 2 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 1144298803 NPPES
Maryland MEDICAID 308001300

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