Mohammad a Mirza MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MOHAMMAD A MIRZA MD SC

Practice address

6723 S Pulaski Road
Chicago, IL 60629-4118

Phone

(773) 735-4600

Fax

(773) 735-3112

NPI assigned

Apr 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad A Mirza, MD

Title

President

Phone

(773) 735-4600

Specialties & licenses 1

Addresses

Other names 1

• MA Mirza MD SC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013038512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 S PULASKI ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294118",
            "telephone_number": "773-735-4600",
            "fax_number": "773-735-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 S PULASKI ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294118",
            "telephone_number": "773-735-4600",
            "fax_number": "773-735-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A MIRZA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-735-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MA Mirza MD SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reem Mohamed
• Rua Isameldin Bakhiet Mohamed
• Salimah Mohamed, DO
• Sara Mohamed Ahmed Mohamed, MD
• Suleiman Mohamed Sr.
• Mohammad Jamil MD Heart Clinic LTD
• Mohammad R Ekhtera DDS PC
• Mohammad R Ekhtera, DDS. PC
• Fatima Mohammad
• Reem Mohammad, DPM

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.