Shirwan a Mirza, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

221927 Issued in NY

Legal business name

SHIRWAN A MIRZA, MD

Practice address

399 Grant Avenue Rd
Suite 1
Auburn, NY 13021-8202

Phone

(315) 282-0071

Fax

(315) 282-0077

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shirwan A Mirza, MDNPI 1497762850

Title

Owner

Phone

(315) 282-0071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Endocrinology, Diabetes, and Metabolism, PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirwan Mirza, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Auburn, NY
  • NPI 1497762850
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1376637256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 GRANT AVENUE RD",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218202",
            "telephone_number": "315-282-0071",
            "fax_number": "315-282-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GRANT AVENUE RD",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218202",
            "telephone_number": "315-282-0071",
            "fax_number": "315-282-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRWAN A MIRZA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "SHIRWAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-282-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "221927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02959424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology, Diabetes, and Metabolism, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Shepherd, PA-S
• Maria Shepherd, P.T., D.P.T.
• Alan Charles Sherburne, M.D.
• Jessica Lee Sheridan, LMSW
• Allison Elizabeth Shipley, M.A.
• Sujit Kumar Shrestha
• Jennifer M Shultes, M.S., CCC-SLP
• Chris-Anne Shutter-Moran
• Amber L Shutter, NP
• Ryan C Sidebottom, DO

• Endocrinology, Diabetes & Metabolism Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.