Mirza, Sulman A
Mirza, Sulman A is an individual health care provider with primary practice located at 11204 Waples Mill Rd , Fairfax VA 22030-6036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mirza, Sulman A can be contacted via phone (703) 218-8500.Contact Information
Primary practice address
11204 Waples Mill Rd
Fairfax VA 22030-6036
Phone: (703) 218-8500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101256972 | Virginia |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0101253972 | Virginia |
Profile Details
NPI number | 1699036012 |
---|---|
LBN Legal business name | Mirza, Sulman A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2012 |
Last updated | Nov 27th, 2023 - about last year |
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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