Mirza, Shakeela F

Mirza, Shakeela F is an individual health care provider with primary practice located at 46591 Romeo Plank Rd Suite 205, Macomb MI 48044-5742. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mirza, Shakeela F can be contacted via phone (586) 226-6250.

Contact Information

Primary practice address
46591 Romeo Plank Rd Suite 205 Macomb MI 48044-5742
Phone: (586) 226-6250
Fax: (586) 226-6255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301064234 Michigan
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301064234 Michigan

Profile Details

NPI number 1902856578
LBN Legal business name Mirza, Shakeela F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 1st, 2011 - about 13 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 1902856578 NPPES
Michigan MEDICAID 3383980
Michigan MEDICAID 4172282
Michigan Other 0E011720

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