Agni Mirza, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35. 092320 Issued in OH

Practice address

7123 Pearl Rd
Teamhealth Midwest, Suite 201
Middleburg Heights, OH 44130-4975

Phone

(800) 842-0255

Fax

(440) 842-8835

NPI assigned

Sep 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1588814727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 VILLA DR",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212901",
            "telephone_number": "216-381-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7123 PEARL RD",
            "address_2": "TEAMHEALTH MIDWEST, SUITE 201",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304975",
            "telephone_number": "800-842-0255",
            "fax_number": "440-842-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "AGNI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35. 092320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Joseph Miller
• Erica Miller
• Shelly Kay Mills, MD
• James Miner, CAA
• Samuel P Miranda, M.D.
• Kevin Misiakiewicz
• Kayla Jordan Mitchell, LPC
• Michelle Mitchell
• Mark L Modic, MD
• Laura Moncrief, PSY.D.

• Internal Medicine Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.