Mirza, Fadi
Mirza, Fadi is an individual health care provider with primary practice located at 622 W 168Th St Ph 16-66, New York NY 10032-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Mirza, Fadi can be contacted via phone (212) 305-6293.Contact Information
Primary practice address
622 W 168Th St Ph 16-66
New York NY 10032-3720
Phone: (212) 305-6293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 003520 | New York |
Profile Details
| NPI number | 1396866968 |
|---|---|
| LBN Legal business name | Mirza, Fadi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | May 12th, 2010 - about 14 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 | 1396866968 | NPPES |
| New York | MEDICAID | 02248786 | |
| New York | MEDICAID | 02559635 |
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