Mirza, Mohd A
Mirza, Mohd A is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Suite 203, Roanoke VA 24014-2462. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mirza, Mohd A can be contacted via phone (540) 982-8204.Contact Information
Primary practice address
2001 Crystal Spring Ave Sw Suite 203
Roanoke VA 24014-2462
Phone: (540) 982-8204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101237718 | Virginia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101237718 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101237718 | Virginia |
Profile Details
| NPI number | 1538146279 |
|---|---|
| LBN Legal business name | Mirza, Mohd A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Apr 3rd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538146279 | NPPES |
| Virginia | MEDICAID | 010202388 |
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