Tariq H Mirza M.D.,

NPI 1962534719 - Internal Medicine - 207RC0000X

NPI Details
NPI 1962534719
Gender Male
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5038 OLD DIXIE HWY
FOREST PARK GA, 30297-2148, US
Phone (404) 366-0303
Fax (404) 366-0208
Business Location
5038 OLD DIXIE HWY
FOREST PARK GA, 30297-2148, US
Phone (404) 366-0303
Fax (404) 366-0208
Toxanomy
Taxonomy Code 207RC0000X
License State Georgia
License Number 032961
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According to our database, Tariq H Mirza M.D., NPI is 1962534719, taxonomy code is 207RC0000X and license number is 032961, license state is located at Georgia. Tariq H Mirza M.D., physically located at 5038 Old Dixie Hwy, Forest Park GA, 30297-2148. NPI Number Tariq H Mirza M.D., has the Individual type.

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1962534719 NPI number is provided on an as is basis without warranty of any kind. 1962534719 is maintained by the National Plan & Provider Enumeration System. The contents of Tariq H Mirza M.D., are for informational purposes only.