Desert Valley Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

34134 Issued in AZ

Legal business name

DESERT VALLEY NEUROLOGY, LLC

Practice address

920 E Williams Field Rd
Ste 102
Gilbert, AZ 85295-4880

Phone

(480) 855-6292

Fax

(480) 855-6393

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dan Mirza, MD

Title

Ownerphysician

Phone

(480) 855-6292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1851561138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52500",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080125",
            "telephone_number": "480-855-6292",
            "fax_number": "480-855-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E WILLIAMS FIELD RD",
            "address_2": "STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954880",
            "telephone_number": "480-855-6292",
            "fax_number": "480-855-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "480-855-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "34134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Desert Vista Eye Specialists PC an
• Desert Vista Eyewear

• Neurology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.