Mirza, Raeesa Wajahat

Mirza, Raeesa Wajahat is an individual health care provider with primary practice located at 600 Moye Blvd Ecu Physicians, Greenville NC 27834-4300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Mirza, Raeesa Wajahat can be contacted via phone (252) 744-3258.

Contact Information

Primary practice address
600 Moye Blvd Ecu Physicians Greenville NC 27834-4300
Phone: (252) 744-3258
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2008-01504 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD210002471 District of Columbia

Profile Details

NPI number 1669662805
LBN Legal business name Mirza, Raeesa Wajahat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Aug 29th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669662805 NPPES
North Carolina MEDICAID 5910778

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