Abdul Basit Mir, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0032883 Issued in FL

Practice address

131 E Redstone Ave
Suite 101
Crestview, FL 32539-5326

Phone

(850) 682-5174

Fax

(850) 689-3653

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: amir@yourcarecommunity.org

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1124052014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE",
            "address_2": "SUITE 101",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395326",
            "telephone_number": "850-682-5174",
            "fax_number": "850-689-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE",
            "address_2": "SUITE 101",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395326",
            "telephone_number": "850-682-5174",
            "fax_number": "850-689-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "ABDUL",
        "middle_name": "BASIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0032883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038080600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Miller
• Steven Miller
• Thomas A Miller, P.T.
• Michelle Lou Milligan, LCSW
• Mindfully You Therapy Services LLC
• Alisha Mitchell
• Edward Mitchell Jr., LDO
• Trista Shari Moffett, LCSW
• Novella Moffitt, LMHC
• Katie Rose Mogent

• Internal Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.