Mirza, Riaz Ahmad

Mirza, Riaz Ahmad is an individual health care provider with primary practice located at 63 Shaker Rd Ste 203 , Albany NY 12204. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mirza, Riaz Ahmad can be contacted via phone (518) 439-1307.

Contact Information

Primary practice address
63 Shaker Rd Ste 203 Albany NY 12204
Phone: (518) 439-1307
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 117268 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 117268 New York

Profile Details

NPI number 1679545297
LBN Legal business name Mirza, Riaz Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 6th, 2018 - about 7 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 1679545297 NPPES
New York MEDICAID 00468979

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