Mirza, Waqar U.

Mirza, Waqar U. is an sole proprietor health care provider with primary practice located at 12266 De Paul Drive Suite 225, Bridgeton MO 63044-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mirza, Waqar U. can be contacted via phone (314) 881-2700.

Contact Information

Primary practice address
12266 De Paul Drive Suite 225 Bridgeton MO 63044-2514
Fax: (314) 881-2706
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X R4N72 Missouri

Profile Details

NPI number 1750329611
LBN Legal business name Mirza, Waqar U.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Aug 14th, 2008 - about 16 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 1750329611 NPPES
Missouri MEDICAID 202871018
Missouri Other 214050163

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