Wajahat Ali Mirza, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21985 Issued in SC

Practice address

6000 Fairview Rd
Suite 1200
Charlotte, NC 28210-2224

Phone

(803) 556-4207

NPI assigned

Aug 8, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1013289255
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1699785212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HOGANS RUN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292293370",
            "telephone_number": "803-556-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRVIEW RD",
            "address_2": "SUITE 1200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102224",
            "telephone_number": "803-556-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "WAJAHAT",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "21985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria V Miranda, BSN, RN
• Melissa Miranda, PT
• Behnoush Mirbozorgi, BCBA,LBA
• Sujata Nitin Mirchandani, LCMHC-A
• Mirror Gaze Beauty Bar LLC
• Jennifer Jordan Misenhimer, MD
• Meredith Mishkin Mishan, MS, RDN, LDN
• Anne Marie Dvorak Misher, PHARMD
• Mishi Chiropractic & Acupuncture PLLC
• Joseph David Mishkin, MD

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.