M A Mirza, Llc in Lees Summit - Prescribing (medical)
M A Mirza, Llc - NPI 1376757617
M A Mirza, Llc is a Prescribing (medical) in Lees Summit, Missouri. M A Mirza, Llc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for M A Mirza, Llc is 1376757617. The last update date is 2014-03-21.
M A Mirza, Llc's current location address is 4045 Ne Lakewood Way, Lees Summit, Missouri. You can contact this provider via phone number 8168862184 and fax number 8168862397. The mailing address for M A Mirza, Llc is 4045 Ne Lakewood Way, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | M A Mirza, Llc |
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Address | 4045 Ne Lakewood Way, Lees Summit, Missouri |
Phone Number | 8168862184 |
Fax Number | 8168862397 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Mirza Azher Mohammed |
Credentials | M.D. |
Telephone Number | 8162285335 |
NPI Number Detail
NPI Number | 1376757617 |
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Provider Enumeration Date | 2007-05-09 |
Last Updated Date | 2014-03-21 |
Provider Mailing Address Detail
Address | 4045 Ne Lakewood Way |
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City | Lees Summit |
State | Missouri (MO) |
Post Code | 640641799 |
Phone Number | 8168862184 |
Fax Number | 8168862397 |
Provider's Primary Taxonomy Detail
Speciality | Prescribing (medical) |
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Taxonomy | 103Tp0016X |
Licence No | RICIO |
Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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What is the M A Mirza, Llc's unique identification number?
The M A Mirza, Llc has been assigned the NPI (National Provider Identifier) Number 1376757617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where M A Mirza, Llc is located?
The M A Mirza, Llc is situated at the following address: 4045 Ne Lakewood Way, Lees Summit, MO, 640641799.
What is M A Mirza, Llc's area of expertise and its corresponding taxonomy classification?
The M A Mirza, Llc's field of specialization is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1376757617 to M A Mirza, Llc?
The Centers for Medicare & Medicaid Services assigned the 1376757617 to M A Mirza, Llc on 2007-05-09.
As of what date was the information pertaining to M A Mirza, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to M A Mirza, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-21.
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