Irfan A Mirza MD

NPI 1134128036 - Specialist - 174400000X

NPI Details
NPI 1134128036
Gender Male
Enumeration Date 07/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
7447 W TALCOTT AVE
SUITE ONE
CHICAGO IL, 60631-3745, US
Phone (773) 774-2354
Fax
Business Location
7447 W TALCOTT AVE
SUITE ONE
CHICAGO IL, 60631-3745, US
Phone (773) 774-2354
Fax
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 2000170091
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According to our database, Irfan A Mirza MD NPI is 1134128036, taxonomy code is 174400000X and license number is 2000170091, license state is located at Missouri. Irfan A Mirza MD physically located at 7447 W Talcott Ave, Chicago IL, 60631-3745. NPI Number Irfan A Mirza MD has the Individual type.

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1134128036 NPI number is provided on an as is basis without warranty of any kind. 1134128036 is maintained by the National Plan & Provider Enumeration System. The contents of Irfan A Mirza MD are for informational purposes only.