Mirza Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME122105 Issued in FL

Legal business name

MIRZA MEDICAL PA

Practice address

3075 NW 35TH Ave
Lauderdale Lakes, FL 33311-1107

Phone

(305) 891-8850

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Khurram Mirza, MD

Title

Owner

Phone

(954) 335-5500

Specialties & licenses 1

Addresses

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.

• Zarish Mubarik, DMD

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1083309447

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1851820922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 NE 44TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 NW 35TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111107",
            "telephone_number": "305-891-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-335-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inez Miche
• Michelle Gonzalez OD PA
• Ciaira Miles
• Marvens Milhomme
• Krystal Miller
• Bimal Mistry
• Vanessa Monique Mitchell, MD
• Jacob Mocilan
• Maria Viola Moise
• Jonathan Lazaro Mollineda, DPM

• Internal Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.