Mirza M. Nusairee, MD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0040519 Issued in MD

Legal business name

MIRZA M. NUSAIREE, MD.

Practice address

1401 Madison Park Dr
Suite 100
Glen Burnie, MD 21061-5881

Phone

(410) 766-4747

Fax

(410) 766-4855

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Mirza M. Nusairee, MDNPI 1043257256

Title

President

Phone

(410) 766-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mirza M. Nusairee, M.D

  • Internal Medicine Physician
  • Crofton, MD
  • NPI 1043257256
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1508037052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON PARK DR",
            "address_2": "SUITE 100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615881",
            "telephone_number": "410-766-4747",
            "fax_number": "410-766-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MADISON PARK DR",
            "address_2": "SUITE 100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615881",
            "telephone_number": "410-766-4747",
            "fax_number": "410-766-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA M. NUSAIREE, MD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "NUSAIREE",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-766-4747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor A Mister, NP
• Rebecca Louise Mitch, LCPC, NCC
• Alaina Mitchell, LMSW
• Autumn Nicole Mitchell
• Douglas Mitchell, MD

• Internal Medicine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.