Mirza, Medo
Mirza, Medo is an individual health care provider with primary practice located at 1432 S Dobson Rd Suite 301, Mesa AZ 85202-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Mirza, Medo can be contacted via phone (480) 464-9400.Contact Information
Primary practice address
1432 S Dobson Rd Suite 301
Mesa AZ 85202-4768
Phone: (480) 464-9400
Fax: (480) 464-9401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 17426 | Arizona |
Profile Details
| NPI number | 1528038478 |
|---|---|
| LBN Legal business name | Mirza, Medo |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Apr 23rd, 2009 - about 16 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 | 1528038478 | NPPES |
| Arizona | MEDICAID | 27694001 | |
| Arizona | Other | 27694001 |
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