Mirza, Dan B

Mirza, Dan B is an sole proprietor health care provider with primary practice located at 2450 E Guadalupe Rd Suite 105, Gilbert AZ 85234-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mirza, Dan B can be contacted via phone (480) 855-6292.

Contact Information

Primary practice address
2450 E Guadalupe Rd Suite 105 Gilbert AZ 85234-5116
Fax: (480) 855-6293
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34134 Arizona

Profile Details

NPI number 1770557555
LBN Legal business name Mirza, Dan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Feb 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770557555 NPPES
Arizona MEDICAID 943424

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