Mubarik N Mir

Primary specialty

TaxiTaxonomy code 344600000X

License

1226 Issued in CT

Practice address

428 Broad St
Meriden, CT 06450-5846

Phone

(203) 235-6527

NPI assigned

Aug 29, 2018

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1184106908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCH ST # 1",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504317",
            "telephone_number": "203-235-6527",
            "fax_number": "203-440-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505846",
            "telephone_number": "203-235-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "MUBARIK",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CT",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXI",
            "identifier": "1226",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1226",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Miller, D.C.
• Douglas T Miller, M.D.
• Hillary Miller, DNP
• Kelly M Miller, LCSW
• Shelby Ming, M.A.
• Misbah M. Vahidy, MD, PC
• William C Mitchard, DPM
• Satina Mitchell, LCSW
• Fukami Mizuno
• Bita Moeinifar, OD

• Taxi in Meriden, CT
• Providers in Meriden, CT by specialty
• Taxi in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.