Dr Sanjida Mirza MD SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DR SANJIDA MIRZA MD SC

Practice address

337 E 35TH St
Chicago, IL 60616-3951

Phone

(312) 842-3547

Fax

(312) 842-1878

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sanjida Mirza, MDNPI 1174564199

Title

Owner Physician

Phone

(312) 842-6547

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, and the practitioner matching its NPPES authorized official.

• Sanjida Mirza, MD

  • General Practice Physician
  • Chicago, IL
  • NPI 1174564199
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1629292131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 OAKWOOD DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591065",
            "telephone_number": "312-842-3547",
            "fax_number": "312-842-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163951",
            "telephone_number": "312-842-3547",
            "fax_number": "312-842-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SANJIDA MIRZA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "SANJIDA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "312-842-6547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.