Mirza, Moben

Mirza, Moben is an individual health care provider with primary practice located at 3901 Rainbow Blvd Ms 3016 Dept Of Urology - Univ Of Ks Medical Ctr, Kansas City KS 66160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mirza, Moben can be contacted via phone (913) 588-7564.

Contact Information

Primary practice address
3901 Rainbow Blvd Ms 3016 Dept Of Urology - Univ Of Ks Medical Ctr Kansas City KS 66160
Phone: (913) 588-7564
Fax: (913) 588-6668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2004-0457 New Mexico
Allopathic & Osteopathic Physicians / Urology 208800000X 2009011507 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X 04-33818 Kansas

Profile Details

NPI number 1447399431
LBN Legal business name Mirza, Moben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 28th, 2018 - about 6 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 1447399431 NPPES
Kansas MEDICAID 200608190A

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